Mustafa Suat BOLAT, Alper BAŞAKÇI, Ekrem AKDENİZ, AYŞEGÜL İDİL SOYLU

Paraplegia after percutaneous nephrolithotomy: A rare clinical entity

Perkütan nefrolitotomi (PNL) düşük komplikasyon ve yüksek başarı oranı ayrıca yüksek post operatif hasta konforu ile 2 cm'den daha büyük böbrek taşlarının cerrahi tedavisinde ilk seçenek olarak tavsiye edilmektedir. Ateş, kanama ve üriner kaçak PNL'nin en sık görülen komplikasyonlarındandır. PNL sonrası parapleji nadir görülen bir komplikasyondur. Bu olgu sunumumuzda PNL sonrası Adamkiewicz arterinin vazospazmı sonrası parapleji gelişen bir hasta değerlendirilmiştir

Nadir bir klinik durum: Perkütan nefrolitotomi sonrası gelişen parapleji

Percutaneous nephrolithotomy (PNL) is recommended as a first choice in the treatment of kidney stone larger than 2 cm with acceptable complication rate, high success rate and high postoperative patient comfort. Fever, bleeding, urine leakage are the most frequent complications of PNL. Paraplegia following PNL is a very rare complication. In this present study, paraplegia due to vasospasm of Adamkiewicz artery following PNL was reported

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1. Akilov FA, Giyasov SI, Shukhrat Tursunovich Mukhtarov ST et al. Applicability of the Clavien-Dindo grading system for assessing the postoperative complications of endoscopic surgery for nephrolithiasis: a critical review. Turk J Urol. 2013; 39: 153–160.

2. Michel MS, Trojan L, Rassweiler JJ. Complications in percutaneous nephrolithotomy. EurUrol 2007;51:899-906.

3. Naumann N, Shariat K, Ulmer S, Stippich C, Ahlhelm FJ. Spinal cord infarction. Radiologe 2012;52:442-50.

4. Aydin A. Mechanisms and prevention of anterior spinal artery syndrome following abdominal aortic surgery. Angiol Sosud Khir 2015;21:155-64.

5. Alpagut U, Dayioglu E. Anterior spinal artery syndrome after infrarenal abdominal aortic surgery. J Cardiovasc Surg (Torino) 2002;43:865-8.

6. Djurberg H, Haddad M. Anterior spinal artery syndrome. Paraplegia following segmental ischaemic injury to the spinal cord after oesophagectomy. Anaesthesia. 1995;50:345-8.