Successful management of both early and delayed-onset neurological deficit following extent II thoracoabdominal aneurysm repair.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 18226568.
- Also identified by DOI 10.1016/j.ejvs.2007.12.005.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
Delayed-onset paraplegia is an uncommon but devastating complication of thoracoabdominal aneurysm repair. We report the successful use of repeat cerebrospinal fluid drainage in the management of both immediate- and delayed-onset (21 days) paraplegia in the same patient undergoing open Type II thoracoabdominal aneurysm repair. Few studies have looked specifically at preventing delayed onset of symptoms. We advocate continued attention to blood pressure management and hydration for the duration of hospital stay and recommend repeat CSF drainage if symptoms occur.
Medical subject headings
- Aortic Aneurysm, Thoracic
- Blood Vessel Prosthesis Implantation
- Ischemia
- Paraplegia
- Spinal Cord