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2 results

  • Case 16 - Wartenberg Migrant Sensory Neuropathy

  • from Peripheral Neuropathies
  • Jessica E. Hoogendijk, University Medical Center Utrecht, Marianne de Visser, Amsterdam University Medical Center, Pieter A. van Doorn, Erasmus MC, University Medical Center, Rotterdam, Erik H. Niks, Leiden University Medical Center
  • Book:
    Neuromuscular Disease
    Published online:
    29 November 2024
    Print publication:
    19 December 2024, pp 116-117

  • Summary

    A 64-year-old man’s complaints had begun four years earlier with a burning pain at the glans of the penis, which lasted for several days, and was followed by a numb feeling that resolved after a few weeks. Some months later, there was an electric shock-like sensation at the side of his right lower leg, soon followed by numbness in that affected skin area. Over the ensuing years, there was a repeating pattern of a short-lasting sharp, burning pain, often during only one day, which evolved into a numb feeling that most of the time resolved completely in weeks to months. Several body parts had been affected in this way: the upper left leg, the fingers of his right hand, one by one, and the chest. Lately this had also occurred on his right cheek. The frequency of the attacks had not changed over the years.

  • Case 48 - Pronecardiopulmonary resuscitation

  • from Section I - Neuroanesthesia
  • Edited by George A. Mashour, Ehab Farag
  • Book:
    Case Studies in Neuroanesthesia and Neurocritical Care
    Published online:
    03 May 2011
    Print publication:
    03 February 2011, pp 154-156

  • Summary

    Spinal cord injury (SCI) is a devastating, life-threatening condition that produces a number of physiologic and anatomical derangements that must be acutely managed by the anesthetic team. This chapter presents a case study of a 26-year-old male with a loss of sensation and motor control from the neck down. The patient was scheduled for an immediate posterior cervical decompression and stabilization by the neurosurgical service. The patient was evaluated in the emergency room for other associated injuries and high-dose methylprednisolone was started. Maintenance of anesthesia included propofol and remifentanil infusions, in order to facilitate spinal cord monitoring with somatosensory and motor evoked potentials. The postoperative care of these patients might be extensive requiring multiple further anesthetics. Anesthesiologists must be familiar with the unique long-term complications of SCI such as spasticity, autonomic hyperreflexia, and chronic ventilator support that may alter anesthetic management.