%0 Case Reports
%T Periodic quadriplegia during the acute postoperative phase of cervical laminoplasty: a case report and literature review.
%A Ueyama S
%A Hayama S
%A Mizutani M
%A Nakaya Y
%A Usami Y
%A Fujishiro T
%A Neo M
%J Acta Neurochir (Wien)
%V 164
%N 5
%D 05 2022
%M 35124746
%F 2.816
%R 10.1007/s00701-022-05148-3
%X The use of antibiotics can, in rare cases, induce neuromuscular blockade (NMB), resulting in paralytic symptoms. Although such antibiotic-induced NMB has been described in the anaesthesiology and infectious disease literature, it is an unfamiliar clinical entity in the fields of neurosurgery and spinal surgery. Herein, we report a case of periodic quadriplegia due to NMB induced by perioperative prophylactic antibiotic of cefazolin, resulting in highly confusing paralytic symptoms during the acute postoperative phase of cervical laminoplasty, together with a review of the relevant literature.