Case Report: Navigating the Complexities of Postoperative Paraparesis: A Case of Transient Ischemic Attack due to ACA stenosis following OPLL decompression
Keywords:
Ossification of the posterior longitudinal ligament (OPLL), Lateral Mass Screw Fixation, Laminectomy, Postoperative Paraplegia, Anterior Cerebral Artery (ACA) InfarctionAbstract
Ossification of the posterior longitudinal ligament (OPLL) is a condition where abnormal bone growth occurs within the spinal ligament. While often asymptomatic, OPLL can lead to spinal cord compression, resulting in neurological symptoms. A 66-year-old Thai man with progressive upper extremity weakness was diagnosed with OPLL and underwent cervical decompression surgery. Despite the surgery, the patient developed postoperative lower extremity weakness (paraparesis). Further investigation revealed reduced blood flow during surgery, and a subsequent CT brain scan demonstrated pre-existing bilateral anterior cerebral artery infarction. This case highlights the complexity of managing OPLL and the importance of a comprehensive approach involving multiple medical specialties.
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ข้อความภายในบทความที่ตีพิมพ์ในวารสารสมาคมโรคหลอดเลือดสมองไทยเล่มนี้ ตลอดจนความรับผิดชอบด้านเนื้อหาและการตรวจร่างบทความเป็นของผู้นิพนธ์ ไม่เกี่ยวข้องกับกองบรรณาธิการแต่อย่างใด การนำเนื้อหา ข้อความหรือข้อคิดเห็นของบทความไปเผยแพร่ ต้องได้รับอนุญาตจากกองบรรณาธิการอย่างเป็นลายลักษณ์อักษร ผลงานที่ได้รับการตีพิมพ์ในวารสารเล่มนี้ถือเป็นลิขสิทธิ์ของวารสาร
