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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2023; 11(24): 5789-5796
Published online Aug 26, 2023. doi: 10.12998/wjcc.v11.i24.5789
Published online Aug 26, 2023. doi: 10.12998/wjcc.v11.i24.5789
Intraoperative sudden arrhythmias in cervical spine surgery adjacent to the stellate ganglion: A case report
Jong-Hun Seo, Department of Neurosurgery, Chosun University Hospital, Gwangju 61453, South Korea
Su-Yeon Cho, Ji-Hwan Park, Jin-Young Seo, Department of Anesthesiology and Pain Medicine, Chosun University Hospital, Gwangju 61453, South Korea
Hyun-Young Lee, Dong-Joon Kim, Department of Anesthesiology and Pain Medicine, College of Medicine, Chosun University, Gwangju 61453, South Korea
Author contributions: Kim DJ and Seo JH conceived the article; Park JH and Seo JY collected the data; Cho SY and Lee HY assembled the data; Seo JH, Cho SY, Park JH, Seo JY, Lee HY and Kim DJ provided the study materials, write the manuscript, and approved the manuscript.
Supported by The Research fund from Chosun University Hospital.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dong-Joon Kim, MD, PhD, Associate Professor, Doctor, Department of Anesthesiology and Pain Medicine, College of Medicine, Chosun University, 365 Pilmun-daero, Dong-gu, Gwangju 61453, South Korea. djkim@chosun.ac.kr
Received: May 24, 2023
Peer-review started: May 24, 2023
First decision: July 3, 2023
Revised: July 7, 2023
Accepted: August 2, 2023
Article in press: August 2, 2023
Published online: August 26, 2023
Peer-review started: May 24, 2023
First decision: July 3, 2023
Revised: July 7, 2023
Accepted: August 2, 2023
Article in press: August 2, 2023
Published online: August 26, 2023
Core Tip
Core Tip: Paroxysmal supraventricular tachycardia and atrial flutter can occur without structural heart disease and are present at any age. In the current case, the arrhythmia was caused by the surgical stimulation of the stellate ganglion in a patient without a significant medical history. Electrocardiography results were similar, making it difficult to identify the type of arrhythmia. Hence, another arrhythmia was observed even after appropriate treatment. In such a case, if an arrhythmia occurs in the context of stimulation of the right stellate ganglion during cervical spine surgery, identification of triggers to consider, correction of the appropriate triggers, and prevention of migration to fatal arrhythmias should be considered.