Anesth Pain Med.  2016 Apr;11(2):155-159. 10.17085/apm.2016.11.2.155.

Anesthetic experience of Benedikt syndrome complicating lumbar spine involved multiple myeloma: A case report

• Lee JY
• Jung WS
• Lee SR
• Jo YY

• KMID: 2358477
• DOI: http://doi.org/10.17085/apm.2016.11.2.155

Abstract

Benedikt syndrome is characterized by ipsilateral ophthalmoplegia with contralateral hemichorea due to a midbrain lesion. A 67-year-old male with Benedikt syndrome underwent corpectomy at L1 and anterolateral interbody fusion at T12-L2 due to pathologic bursting fracture at L1 involving multiple myeloma. He had a history of traumatic subarachnoid hemorrhage and subdural hemorrhage 8 months before surgery. Magnetic resonance image of the brain revealed intracranial hemorrhage from thalamus to midbrain. Target controlled infusion with propofol and remifentanil were administered for anesthetic induction and maintenance and close hemodynamic and neurologic monitoring led to successful anesthetic management.

Keyword

Anesthesia; Midbrain hemorrhage; Trauma

MeSH Terms

Aged
Anesthesia
Brain
Hematoma, Subdural
Hemodynamics
Humans
Intracranial Hemorrhages
Male
Mesencephalon
Multiple Myeloma*
Ophthalmoplegia
Propofol
Spine*
Subarachnoid Hemorrhage, Traumatic
Thalamus
Propofol

Figure

• 

  Fig. 1 Precontrast T1 (A) and T2 (B) magnetic resonance images showing hemorrhage in right mid brain (arrow).

• 

  Fig. 2 Hemodynamic drug and transfusion requirements. RBC: packed red blood cell, FFP: fresh frozen plasma.

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