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Eur J Cardiothorac Surg 2009;35:734-736. doi:10.1016/j.ejcts.2008.11.037
Copyright © 2009, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.

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Case reports

Post-thoracotomy paraplegia due to epidural migration of bone wax

Arvind Kumara,*, Shashank Sharad Kaleb, Roman Duttaa, Abhinav Kumara

a Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi 110029, India
b Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi 110029, India

Received 7 September 2008; received in revised form 20 November 2008; accepted 20 November 2008.

* Corresponding author. Tel.: +91 11 26593460; fax: +91 11 26588663. (Email: arvindreena{at}hotmail.com).

Post-thoracotomy paraplegia after thoracic surgery is a catastrophic complication. We present one such case following resection of a benign posterior mediastinal tumour. Paraplegia was caused by spinal cord compression due to epidural migration of haemostatic agent i.e. bone wax through the spinal canal. Timely intervention leads to the successful outcome.

Key Words: Paraplegia • Spinal cord compression • Bone wax







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Copyright © 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.