Journal of Spine

Naohisa Miyakoshi

Publications

• Case Report
  Life-Threatening Upper Airway Obstruction as a Complication of Corrective Spinal Surgery in a Patient with Parkinson's Disease: A Case Report
  Author(s): Takashi Kobayashi, Naohisa Miyakoshi, Toshiki Abe, Kazuma Kikuchi, Eiji Abe, Kaori Fujiwara and Yoichi ShimadaTakashi Kobayashi, Naohisa Miyakoshi, Toshiki Abe, Kazuma Kikuchi, Eiji Abe, Kaori Fujiwara and Yoichi Shimada
  
  A 74-year-old female with a 10-year history of Parkinson’s disease visited our hospital complaining of severe kyphoscoliosis deformity. Corrective spinal surgery was performed through a posterior approach. Oral anti-Parkinson medication was continued until the day of surgery, when continuous intravenous dopamine infusion was initiated; dopamine was discontinued and oral medication restarted on the day after surgery. Four weeks after surgery, the patient developed dyspnea. Laryngeal examination revealed rigidity of the neck muscles causing upper airway obstruction. Emergency tracheotomy was performed and the patient’s respiratory condition improved immediately. Because of difficulty of swallowing, gastrostomy was performed 2 weeks after tracheotomy. After tracheotomy and gastrostomy, the patient’s respiratory condition improved. Life-threatening upper airway obstructi.. Read More»
  DOI: 10.4172/2165-7939.1000348

  Abstract PDF