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KMID : 0361020190620070413
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Korean Journal of Otolaryngology - Head and Neck Surgery
2019 Volume.62 No. 7 p.413 ~ p.415
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A Case of Quadriplegia after Parotidectomy in a Patient with Asymptomatic Cervical Spondylosis
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Shin Min-Jun
Sohn Hyun-Gi
Lee Jung-On
Song Yong-Jin
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Abstract
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Cervical spondylosis is a common degenerative disease of the cervical spine affecting the cervical vertebral bodies and intervertebral discs. During parotidectomy, the patient is placed in a supine position with the neck extended and head rotated to the contralateral side. This position could exacerbate pre-existing cervical spondylosis and cause cervical myelopathy. We present a case of postoperative quadriplegia secondary to cervical myelopathy after parotidectomy. A 68-year-old man without symptoms of cervical spondylosis underwent partial parotidectomy for a right parotid mass and subsequently developed quadriplegia 8 hours postoperatively. Magnetic resonance imaging revealed severe cervical myelopathy. Emergency laminoplasty was performed, and steroid therapy was initiated. He showed near-complete recovery six months later.
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KEYWORD
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Cervical myelopathy, Cervical spondylosis, Head and neck surgery, Parotidectomy, Quadriplegia
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