肺血栓塞栓症による心肺停止後に脊髄虚血を認めた一例

西野 将司; 須崎 紳一郎; 原田 尚重; 原 俊輔; 蕪木 友則; 寺岡 麻梨; 平山 優; 山本 浩大郎; 鈴木 秀鷹; 岸原 悠貴; 大山 裕太郎; 河口 拓哉

doi:10.24697/jaamkanto.39.3_419

A case of spinal cord ischemia after cardiopulmonary arrest due to pulmonary thromboembolism

Masashi Nishino, Shinichiro Suzaki, Naoshige Harada, Shunsuke Hara, Tomonori Kaburaki, Mari Teraoka, Masaru Hirayama, Kotaro Yamamoto, Hidetaka Suzuki, Yuki Kishihara, Yutaro Oyama, Takuya Kawaguchi

Author information

Masashi Nishino
Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital
Shinichiro Suzaki
Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital
Naoshige Harada
Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital
Shunsuke Hara
Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital
Tomonori Kaburaki
Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital
Mari Teraoka
Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital
Masaru Hirayama
Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital
Kotaro Yamamoto
Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital
Hidetaka Suzuki
Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital
Yuki Kishihara
Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital
Yutaro Oyama
Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital
Takuya Kawaguchi
Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital

Keywords: post cardiac arrest syndrome (PCAS), quadriplegia, cervical spinal cord ischemia

JOURNAL FREE ACCESS

2019 Volume 39 Issue 3 Pages 419-421

DOI https://doi.org/10.24697/jaamkanto.39.3_419

Details

Abstract

The patient was a 62-year-old man. He fainted five days after a urachal tumor resection. A detailed examination revealed that he had experienced an obstructive shock due to pulmonary thromboembolism. It led to a cardiopulmonary arrest. An external cardioassist was established, and the patient was moved to the intensive care unit for general care. The external cardioassist was removed, and upon completing thermoregulation, the patient had control over his neck and above, but was unable to move his limbs, and was in the state of quadriplegia. At this point, magnetic resonance imaging confirmed ischemic changes from C5 to C7.

Corresponding author

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