Anesthesia Management of a Patient with High Paraplegia Undergoing Urological Laparoscopic Surgery: A Case Report
Abstract：1 Patient Information
A 62-year-old male patient, height 165 cm, weight 52 kg, body mass index 19.10 kg/m², was admitted to the hospital due to 'discovery of bilateral renal calculi for more than 2 years'. He had a history of 'high paraplegia caused by traffic accident over 30 years ago', and two years ago underwent laparoscopic common bile duct stone removal surgery for choledocholithiasis.
Physical examination: heart rate (HR) 78 beats/min, blood pressure (BP) 132/71 mmHg, mild limitation of cervical movement, neck can be extended backward, mouth opening degree of 3 fingers. Breath-holding test 28 seconds. No edema in both lower limbs. Right upper limb muscle strength 2+ grade, left upper limb muscle strength 2 grade, both lower limb muscle strength 0 grade, bilateral upper limb muscle tone 2 grade, bilateral lower limb muscle tone 4 grade. No abnormalities in sensation of both upper limbs, sensory loss below the level of the thoracic and mamillary regions. Pathological reflexes such as Hoffmann's sign and Babinski's sign were positive.
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Publication Date：2025-08-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 334-337 )