Posterior Spinal Cord Syndrome after Flexible Ureteroscopy for Kidney Stones

Urologia Internationalis
Julie CarrougetPierre Bigot

Abstract

A 49-year-old woman was treated for right kidney stones using flexible ureteroscopy and laser lithotripsy. She was readmitted 2 weeks after the treatment with complaints of walking difficulties. On neurologic examination, it was found that she had a bilateral proprioceptive dysfunction. Spinal MRI revealed an intramedullary lesion at the T10-T11 level consistent with an intramedullary cavernoma. The final diagnosis was a spinal compression consecutive to the cavernoma bleeding associated with the prolonged lithotomy position. Symptoms have not been reversible and the patient continued to have walking difficulties. We report for the first time a major complication that arises as a result of using flexible ureteroscopy for treating kidney stones.

Citations

Jan 20, 2017·Experimental and Therapeutic Medicine·Zhi-Gang LiGuang-Hui Zang

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