Document Detail


Anterior spinal artery syndrome following abdominal aortic aneurysmectomy. Case report and review of the literautre.
MedLine Citation:
PMID:  880025     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Paraplegia developed in a 70-year-old man after resection of a ruptured abdominal aortic aneurysm during which aortic occlusion time was 45 minutes. Between one and three months postoperatively, he progressively recovered motor function to the point where he could walk unaided. Only four patients have previously been reported to recover from paraplegia produced in this manner. A review of the literature on the anatomy of the arterial supply to the spinal cord indicates the importance of the anterior spinal artery and the artery of Adamkiewicz (arteria magna radicularis). Paraplegia is more common in patients with hypotension and when backbleeding from the lumbar arteries has been poor.
Authors:
R R Grace; K L Mattox
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  112     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1977 Jul 
Date Detail:
Created Date:  1977-08-12     Completed Date:  1977-08-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  813-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aorta, Abdominal
Aortic Aneurysm / surgery*
Aortic Rupture / surgery
Humans
Ischemia / etiology*
Male
Paraplegia / etiology*
Postoperative Complications*
Spinal Cord / blood supply*
Syndrome
Urinary Incontinence / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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