scholarly journals Ascending Tonic Clonic Seizure Syndrome after Percutaneous Vertebroplasty

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Guido Zarattini ◽  
Adam Farrier ◽  
Federico Sibona
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Rare Complication ◽  
Cement Leakage ◽  
Clonic Seizure ◽  
Tonic Clonic Seizure ◽  
Leg Pain ◽  
Compression Fractures ◽  
First Case ◽  
Seizure Syndrome ◽  
Osteoporotic Compression Fractures

Background Context. Cement leakage is not a rare complication of vertebroplasty, but ascending tonic clonic seizure syndrome is exceptionally rare. We herein report the first case to our knowledge of this complication related to vertebroplasty.Purpose. We herein report the first case of ascending tonic clonic seizure syndrome following epidural cement leakage after percutaneous vertebroplasty in a patient with multiple osteoporotic compression fractures.Study Design. Case report.Methods. A 64-year-old woman with T8, T10, L2, and L4 osteoporotic compression fractures underwent percutaneous vertebroplasty using polymethylmethacrylate. 40 minutes after the procedure the patient started suffering back and leg pain, having repetitive myoclonic jerks lasting 15 seconds of the lower extremities, spasm of the back, dyspnea, sinus tachycardia, hypoxemia, and metabolic acidosis.Results. The patient recovered completely due to a combination of early effective resuscitation and considered definitive management.Conclusions. Percutaneous vertebroplasty with polymethylmethacrylate is relatively safe but has few dangerous complications, which should be prevented by a meticulous technique and excellent image quality.

scholarly journals Cement Embolization of a Segmental Artery after Percutaneous Vertebroplasty: A Potentially Catastrophic Vascular Complication

2012 ◽  
Vol 18 (3) ◽  
pp. 358-362 ◽  
Author(s):  
C.C. Matouk ◽  
T. Krings ◽  
K.G. Ter Brugge ◽  
R. Smith
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Cement Leakage ◽  
Vascular Complication ◽  
Vertebral Augmentation ◽  
Segmental Artery ◽  
Compression Fractures ◽  
Unusual Occurrence ◽  
Multi Level ◽  
The Right ◽  
Osteoporotic Compression Fractures

Serious complications related to percutaneous vertebral augmentation procedures, vertebroplasty and kyphoplasty, are rare and most often result from local cement leakage or venous embolization. We describe an adult patient who underwent multi-level, thoracic percutaneous vertebral augmentation procedures for painful osteoporotic compression fractures. The patient's percutaneous vertebroplasty performed at the T9 level was complicated by the asymptomatic, direct embolization of the right T9 segmental artery with penetration of cement into the radicular artery beneath the pedicle. We review the literature regarding the unusual occurrence of direct arterial cement embolization during vertebral augmentation procedures, discuss possible pathomechanisms, and alert clinicians to this potentially catastrophic vascular complication.

scholarly journals Percutaneous Vertebroplasty-Induced Adjacent Vertebral Compression Fracture

2012 ◽  
Vol 4;15 (4;8) ◽  
pp. E527-E532
Author(s):  
Ki Seong Eom
Keyword(s):  
Case Report ◽  
Vertebral Body ◽  
Vertebral Compression Fracture ◽  
Percutaneous Vertebroplasty ◽  
Single Case ◽  
Rare Complication ◽  
Compression Fracture ◽  
Fracture Line ◽  
Compression Fractures ◽  
First Case

Background: The risks associated with percutaneous vertebroplasty (PV) are low. Patients show marked improvement and are able to rapidly resume normal activities after PV. The sudden development of postoperative vertebral compression fracture (VCF) is a common complication, and additional PV is frequently performed in these cases. However, there have been no studies reporting acute compression fractures of an adjacent vertebra immediately after PV. Objective: This case report presents a rare case in which the patient had to undergo a second PV because of PV-induced adjacent VCF. Further, we review previous studies and discuss the possible pathogenesis of this rare complication. Study Design: Case report. Setting: Pain management clinic. Methods: A 62-year-old woman presented with a severe pain in the lower back, which started after she slipped. A radiograph showed severe vertebral collapse with a vertebral vacuum cleft in the T12 vertebral body. T1-weighted magnetic resonance imaging showed low signal intensity in T12, suggesting acute VCF, but the signals from the other vertebrae were normal. Results: The patient underwent PV at T12. When the cannula was inserted into the fracture line of the vertebral body, reduction of the collapsed T12 was developed. Although the postoperative course was uneventful, the patient’s pain did not resolve. Postoperative radiographic image obtained 4 hours after the PV showed reduction of T12 and adjacent acute VCF in T11. We performed a second PV at T11. However, 2 weeks later, adjacent acute VCF in L1 was developed and PV was performed. Limitations: This report describes a single case. Conclusion: To the best of our knowledge, this is the first case report of adjacent VCF that developed almost immediately after PV. Although the exact mechanism underlying this rare complication remains unclear, we assume that the VCF was induced by PV, although this was not proven. However, we suggest that the insertion of the cannula into the fracture line induced the iatrogenic dynamic mobility of the fractured vertebra. Reduction was caused by the cannula and positional gravity. The upward reduction may have had an effect on the upper and adjacent vertebrae. Key words: Compression fractures, vertebroplasty, cannula, complication.

Cement Leakage in Percutaneous Vertebroplasty for Osteoporotic Compression Fractures With or Without Intravertebral Clefts

2009 ◽  
Vol 193 (5) ◽  
pp. W442-W445 ◽  
Author(s):  
Noboru Tanigawa ◽  
Shuji Kariya ◽  
Atsushi Komemushi ◽  
Takanori Tokuda ◽  
Miyuki Nakatani ◽  
...  
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Cement Leakage ◽  
Compression Fractures ◽  
Osteoporotic Compression Fractures

Percutaneous Vertebroplasty for Osteoporotic Compression Fractures: Long-Term Evaluation of the Technical and Clinical Outcomes

2011 ◽  
Vol 196 (6) ◽  
pp. 1415-1418 ◽  
Author(s):  
Noboru Tanigawa ◽  
Shuji Kariya ◽  
Atsushi Komemushi ◽  
Miyuki Nakatani ◽  
Rie Yagi ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Percutaneous Vertebroplasty ◽  
Compression Fractures ◽  
Term Evaluation ◽  
Osteoporotic Compression Fractures

scholarly journals A case of multilevel percutaneous vertebroplasty for vertebral metastases resulting in temporary paraparesis

2019 ◽  
Vol 48 (2) ◽  
pp. 030006051983508
Author(s):  
Guan Shi ◽  
Fei Feng ◽  
Chen Hao ◽  
Jia Pu ◽  
Bao Li ◽  
...  
Keyword(s):  
Bone Cement ◽  
Percutaneous Vertebroplasty ◽  
Cement Leakage ◽  
Spinal Nerve ◽  
Vertebral Compression Fractures ◽  
Vertebral Metastases ◽  
Osteoporotic Vertebral Compression Fractures ◽  
Invasive Treatment ◽  
Compression Fractures ◽  
Cord Injury

Percutaneous vertebroplasty (PVP) is a minimally invasive treatment that has been widely used for the treatment of osteoporotic vertebral compression fractures and vertebral tumors. However, the maximum number of vertebral segments treated in a single PVP remains controversial. Furthermore, PVP may cause complications, including cement leakage, pulmonary embolism, bone cement toxicity, and spinal nerve-puncture injury. We report the rare case of a patient who underwent multilevel PVP for vertebral metastases, with no bone cement leakage or spinal cord injury, but who developed temporary paraparesis.

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