Case Report
Spinal Cord (2005) 43, 445–447. doi:10.1038/sj.sc.3101632 Published online 17 May 2005
Oxidised regenerated cellulose as a cause of paraplegia after thoracotomy: case report and review of the literature
S Dogan1, H Kocaeli1 and M Doygun1
1Department of Neurosurgery, School of Medicine, Uluda
University, Bursa, Turkey
Correspondence: S Dogan, Department of Neurosurgery, School of Medicine, Uluda University, Gorukle, 16059 Bursa, Turkey
Abstract
Study design:
Case report.
Objective:
To report an unusual case of paraplegia.
Setting:
University Hospital Bursa, Turkey.
Case report:
A 22-year-old woman presented with paraplegia following a left-sided thoracotomy. Magnetic resonance imaging showed a dorsal epidural mass at the level of T6. The patient underwent an emergency T6/7 laminectomy and removal of a tuft of oxidised regenerated cellulose, which had migrated through the intervertebral foramen causing spinal cord compression.
Conclusion:
In cases of neurological deficits after surgery at the posterolateral edge of a thoracotomy, the clinician should be aware of the above possibility. Urgent radiological diagnosis and decompressive laminectomy is the treatment of choice.
Keywords:
oxidised regenerated cellulose, paraplegia, spinal cord compression, thoracotomy
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