PURPOSE: To report a case of postoperative bilateral lower limb @entity1183 occurring after surgery under general anesthesia in the hyperlordotic position for radical prostatectomy. The possible pathophysiologic mechanisms are discussed. CLINICAL FEATURES: This 52-yr-old @entity1 was slightly overweight and was on fenofibrate for @entity1007 . He had no history of @entity65 . Arterial blood pressure was overall well maintained except for a very transient @entity551 at @entity954 . @entity190 was moderate and did not require transfusion. Soon after recovery, the @entity1 complained of paresthesia in both legs and neurological examination revealed bilateral lower limb @entity1183 , compatible with an @entity445 at the level of T12-L1. On postoperative day one, a plain magnetic resonance imaging scan demonstrated a hyperintense signal in the spinal cord from T8 to T9 on T2-weighted images consistent with @entity63 of the spinal cord whereas the heterogeneous aspect of the spinal cord was due to an unusually high fat content of the epidural space. Neurological signs improved progressively and one week later the @entity1 had recovered normal sensory functions of both lower limbs. CONCLUSION: Although @entity63 is the most common cause of postoperative @entity1566 , other mechanisms may be invoked. We raise the possibility that a combination of intraoperative risk factors ( @entity551 , excessive postural changes) with anatomic predispositions ( @entity101 or fat content, previous @entity79 ) can produce arterial and/or @entity63 of the spinal cord.

Bilateral lower limb XXXX after radical prostatectomy in the hyperlordotic position under general anesthesia.

@entity1 :: ('9606', 'Species') :: ['patient'] @entity1183 :: ('MESH:D006987', 'Disease') :: ['hypoesthesia'] @entity1007 :: ('MESH:D006937', 'Disease') :: ['hypercholesterolemia'] @entity101 :: ('MESH:D006973', 'Disease') :: ['increased epidural venous pressure'] @entity63 :: ('MESH:D007511', 'Disease') :: ['venous ischemia', 'ischemia', 'arterial ischemia'] @entity190 :: ('MESH:D006473', 'Disease') :: ['Blood loss'] @entity445 :: ('MESH:C536298', 'Disease') :: ['incomplete medullar syndrome'] @entity79 :: ('MESH:D001847', 'Disease') :: ['bone disease'] @entity954 :: ('MESH:D016063', 'Disease') :: ['surgical incision'] @entity1566 :: ('MESH:D013119', 'Disease') :: ['spinal cord injury'] @entity551 :: ('MESH:D007022', 'Disease') :: ['hypotension'] @entity65 :: ('MESH:D002318', 'Disease') :: ['cardiovascular disease']
@entity1183 :: (MESH:D006987,Disease) :: ['hypoesthesia']
