Neurologic Complications in Percutaneous Nephrolithotomy
Basiri Abbas, Soltani Mohammad Hossein, Kamranmanesh Mohammadreza, Tabibi Ali, Ziaee Seyed Amir Mohsen, Nouralizadeh Akbar, Sharifiaghdas Farzaneh, Poorzamani Mahtab, Gharaei Babak, Ozhand Ardalan, Lashay Alireza, Ahanian Ali, Aminsharifi Alireza, Sichani Mehrdad Mohammadi, Asl-Zare Mohammad, Beigi Faramarz Mohammad Ali, Najjaran Vahid, Abedinzadeh Mehdi, Nikkar Mohammad Masoud,
소속 상세정보
( Basiri Abbas )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Soltani Mohammad Hossein )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Kamranmanesh Mohammadreza )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Tabibi Ali )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Ziaee Seyed Amir Mohsen )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Nouralizadeh Akbar )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Sharifiaghdas Farzaneh )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Poorzamani Mahtab )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Gharaei Babak )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Ozhand Ardalan )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Lashay Alireza )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Ahanian Ali )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Aminsharifi Alireza )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Sichani Mehrdad Mohammadi )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Asl-Zare Mohammad )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Beigi Faramarz Mohammad Ali )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Najjaran Vahid )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Abedinzadeh Mehdi )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
( Nikkar Mohammad Masoud )
Shahid Beheshti University Medical Sciences Urology and Nephrology Research Center
KMID : 0358320130540030172
Abstract
Purpose: Percutaneous nephrolithotomy (PCNL) has been the preferred procedure for the removal of large renal stones in Iran since 1990. Recently, we encountered a series of devastating neurologic complications during PCNL, including paraplegia and hemiplegia. There are several reports of neurologic complications following PCNL owing to paradoxical air emboli, but there are no reports of paraplegia following PCNL.
Materials and Methods: We retrospectively reviewed the medical records of patients who had undergone PCNL in 13 different endourologic centers and retrieved data related to neurologic complications after PCNL, including coma, paraplegia, hemiplegia, and quadriplegia.
Results: The total number of PCNL procedures in these 13 centers was 30,666. Among these procedures, 11 cases were complicated by neurologic events, and four of these cases experienced paraplegia. All events happened with the patient in the prone position with the use of general anesthesia and in the presence of air injection. There were no reports of neurologic complications in PCNL procedures performed with the patient under general anesthesia and in the prone position and with contrast injection.
Conclusions: It can be assumed that using room air to opacify the collecting system played a major role in the occurrence of these complications. Likewise, the prone position and general anesthesia may predispose to these events in the presence of air injection.
키워드
Complications;Nephrolithotomy;Neurologic deficits;Paraplegia
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