19 Harley St, London, W1G 9QJ, UK

Postoperative paraplegia after resection of a giant posterior mediastinal tumour. Importance of the blood supply in the upper spinal cord

A 10-cm diameter tumour was revealed in the left upper posterior mediastinum in a 15-year-old female. After exclusion of the possibility of a dumbbell tumour and confirmation of a ganglioneurinoma, an encapsulated, but vascularised tumour was removed via a left posterolateral thoracotomy from the level of the first-third costo-vertebral angle, without intraoperative complications. Following surgery, acute paraplegia was diagnosed, with a spinal cord lesion at the high thoracic level. Magnetic resonance imaging did not reveal any disorder in the spinal cord. In response to medical treatment, the patient’s locomotor and sensation functions normalised within six months. On revising the preoperative computed tomography, we found dilated vessels passing through the tumour and the hypoplastic vertebral artery on the left side. This finding led us to suspect that the spinal cord circulation was partially supplied by the arteries passing through the tumour, which were clipped during surgery. Verification of the blood supply of the spinal cord is therefore highly recommended before resection of a giant tumour from the posterior mediastinum

Keywords : Adolescent,adverse effects,Arteries,Biopsy,blood,blood supply,complications,etiology,Female,Ganglioneuroma,Humans,Intraoperative Complications,Magnetic Resonance Imaging,Mediastinal Neoplasms,Motor Activity,Paraplegia,pathology,physiopathology,Recovery of Function,Regional Blood Flow,Sensation,Spinal Cord,surgery,therapy,Thoracic Vertebrae,Thoracotomy,Time Factors,Tomography,X-Ray Computed,Treatment Outcome,Vertebral Artery,, Paraplegia,After,Resection, severe ibs pain management

Date of Publication : 2011 May

Authors : Furak J;Geczi T;Tiszlavicz L;Lazar G;

Organisation : Department of Surgery, University of Szeged, Szeged, Hungary. jfurak@gmail.com

Journal of Publication : Interact Cardiovasc Thorac Surg

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21303870

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Postoperative paraplegia after resection of a giant posterior mediastinal tumour Importance of the blood supply in the upper spinal cord | Post it pens

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810