AI Article Synopsis
- - A study found no previous reports on hypertensive emergencies linked to neck posture changes, highlighting a unique case involving a 57-year-old woman with cervical spondylotic radiculopathy who experienced a sudden increase in blood pressure during surgery.
- - The patient's hypertension was resolved by changing her neck position and required a different surgical approach than initially planned, leading to successful outcomes in cervical movement without further blood pressure spikes.
- - The findings suggest that proper neck positioning and rapid surgical intervention can help prevent hypertensive emergencies in similar cases, emphasizing the importance of managing posture during medical procedures.
Article Abstract
Background: Extensive research revealed the absence of reports documenting hypertensive emergencies precipitated by changes in the cervical spine posture.
Case Summary: We here present a 57-year-old woman diagnosed as having cervical spondylotic radiculopathy (CSR) who was scheduled for anterior cervical decompression and fusion. During post-anesthetic positioning, a sudden hypertensive surge was observed when the patient was in a supine position with the neck being slightly extended. This surge was promptly reversed through cervical flexion and head elevation. This event however required an alternate surgical approach for recovery-posterior laminoplasty and endoscopy-assisted nucleus pulposus removal. Following the 6-month outpatient follow-up period, cervical flexion and extension activities substantially improved in the patient without any episodes of increase in acute blood pressure.
Conclusion: Maintaining a safe hypotensive posture and performing rapid, thorough decompression surgery may serve as effective interventions for patients presenting symptoms similar to those of CSR accompanied by hypertensive emergencies (HE). This would mitigate the underlying causes of these HEs.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514544 | PMC |
| http://dx.doi.org/10.5312/wjo.v15.i10.981 | DOI Listing |
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