Characterization of a new HLA-B39 allele, B*3913, in a Brazilian Caucasian |
| |
Authors: | R Maertens I De Canck ME Moraes N Vande Casteele G Van Reybroeck B Vanderborght JR Moraes R Rossau |
| |
Affiliation: | Department of Anaesthesia, Pontefract General Infirmary, West Yorkshire, UK. |
| |
Abstract: | We report a case of paraplegia in the immediate postoperative period following right bilobectomy for carcinoma of the lung. An epidural catheter had been inserted following induction of anaesthesia and an infusion of bupivacaine 0.15% was used for postoperative pain relief. Magnetic resonance imaging failed to reveal any spinal or epidural haematoma or spinal cord ischaemia. The patient developed respiratory failure on the third postoperative day and required assisted ventilation. He was weaned from the ventilator on day 15. Two days later he sustained a cardiac arrest and died. Post-mortem examination demonstrated spinal cord infarction and severely stenosed spinal arteries. The thoracotomy position and/or intra-operative hypotension might have compromised the blood flow to the spinal cord and although suspected as a possible cause, the use of epidural analgesia was not implicated. |
| |
Keywords: | |
本文献已被 PubMed 等数据库收录! |
|