Medial medullary injury during adenoidectomy

We report medullary injury during adenoidectomy in two children who received injections of local anesthetic agents into the operative bed. Initial manifestations included hemiparesis, nystagmus, and ataxia. Magnetic resonance imaging showed hemorrhagic, paramedian medullary lesions in both patients....

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Bibliographic Details
Published in:The Journal of pediatrics 2001-05, Vol.138 (5), p.772-774
Main Authors: Kang, Peter B., Phuah, Huan-Kee, Zimmerman, Robert A., Handler, Steven D., Dure, Leon S., Ryan, Stephen G.
Format: Article
Language:English
Subjects:
Adenoidectomy - adverse effects
Adenoidectomy - methods
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthetics, Local - adverse effects
Ataxia - etiology
Biological and medical sciences
Brain Stem - injuries
Child
Child, Preschool
Epinephrine - administration & dosage
Humans
Injections - adverse effects
Lidocaine - administration & dosage
Local anesthesia. Pain (treatment)
Magnetic Resonance Imaging
Male
Medical sciences
Nystagmus, Pathologic - etiology
Paresis - etiology
Risk Assessment
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Summary:We report medullary injury during adenoidectomy in two children who received injections of local anesthetic agents into the operative bed. Initial manifestations included hemiparesis, nystagmus, and ataxia. Magnetic resonance imaging showed hemorrhagic, paramedian medullary lesions in both patients. The mechanism of injury is likely to be injection of fluid into the medulla. (J Pediatr 2001;138:772-4)
ISSN:0022-3476
1097-6833
DOI:10.1067/mpd.2001.111326