Risk Most common cause of both acute and chronic hypoparathyroidism is surgery of the neck, including thyroidectomy, parathyroidectomy, and radical neck dissection. Nonsurgical hypoparathyroidism is rare. Etiologies include autoimmune disease, infiltrative diseases (e.g., hemochromatosis, Wilson disease), hypomagnesemia or hypermagnesemia, and…
Risk 1:1000 live births Increased use of MRI leading to greater diagnosis Chiari malformation types I and II: Most common pediatric hindbrain abnormality Chiari type II always accompanied by myelomeningocele (which occurs in 0.6 of 1000 live births) Perioperative Risks…
Risk Arnold-Chiari malformation (Chiari Malformation type II or CMII) is found exclusively in pts with myelomeningocele. Myelomeningocele occurs in 0.6 of 1000 live births. Perioperative Risks Vocal cord paralysis Respiratory distress Apnea Neurogenic dysphagia and pulmonary aspiration Hydrocephalus and increased…
Case Synopsis A 78-year-old man with morbid obesity (body mass index [BMI] 43), chronic atrial fibrillation on dabigatran (discontinued 5 days prior), and metastatic renal cell carcinoma to T8 is undergoing corpectomy and multilevel instrumented fusion using propofol-based total intravenous…