Management of Recurrent Delayed Neurologic Deficit After Thoracoabdominal Aortic Operation.

Boutrous, Mina L; Afifi, Rana O; Safi, Hazim J; Estrera, Anthony L · Ann Thorac Surg · 2016

case_report · Level V

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Abstract

Delayed neurologic deficit (DND) is a devastating adverse event after thoracoabdominal aortic aneurysm repair. Multiple adjuncts have been devised to counteract the development of DND, most notably cerebrospinal fluid (CSF) drainage. We report a case of a 63-year-old woman in whom DND developed four times during the first 10 days after her thoracoabdominal aortic operation. This necessitated lumbar drain "weaning" to allow for a slowly rising CSF pressure and preservation of lower extremity motor function.

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