Atypical cervical spondylotic radiculopathy resulting in a hypertensive emergency during cervical extension: A case report and review of literature  

作　　者：Hao-Cheng Cui Zheng-Qi Chang Shao-Ke Zhao 

机构地区：[1]Department of Orthopedic Surgery,960th Hospital of PLA,Jinan 250031,Shandong Province,China

出　　处：《World Journal of Orthopedics》2024年第10期981-990,共10页世界骨科杂志（英文）

摘　　要：BACKGROUND Extensive research revealed the absence of reports documenting hypertensive emergencies precipitated by changes in the cervical spine posture.CASE SUMMARY We here present a 57-year-old woman diagnosed as having cervical spondylotic radiculopathy(CSR)who was scheduled for anterior cervical decompression and fusion.During post-anesthetic positioning,a sudden hypertensive surge was observed when the patient was in a supine position with the neck being slightly extended.This surge was promptly reversed through cervical flexion and head elevation.This event however required an alternate surgical approach for recovery—posterior laminoplasty and endoscopy-assisted nucleus pulposus removal.Following the 6-month outpatient follow-up period,cervical flexion and extension activities substantially improved in the patient without any episodes of increase in acute blood pressure.CONCLUSION Maintaining a safe hypotensive posture and performing rapid,thorough deco-mpression surgery may serve as effective interventions for patients presenting symptoms similar to those of CSR accompanied by hypertensive emergencies(HE).This would mitigate the underlying causes of these HEs.

关 键 词：Atypical cervical spondylotic radiculopathy Hypertensive emergency Supine position Endoscopic-assisted Case report 

分 类 号：R726.8[医药卫生—儿科]