Document Detail

Neurological complications of extraspinal.
MedLine Citation:
PMID:  182047     Owner:  NLM     Status:  MEDLINE    
The anatomy and physiology of the blood supply to the central nervous system from the aorta is outlined. Pertinent cases are reported, to illustrate the effect of impairment of this blood supply in producing ischemia of the brain, spinal cord, and peripheral nerves. In patients with such neurologic disease, especially if sudden in onset, a search for a circulatory basis in lesions of the aorta or its branches may be rewarding and crucial. With regard to reconstructive surgery of the aorta, certain precautions may be taken: maintenance of normotension, gentle dissection, preservation of segmental arteries when possible, bypass shunting, avoidance of prolonged aortic clamping and perhaps heparinization. Unfortunately, depending upon deficiencies in collateral circulation to the spinal cord, occasional cases of postoperative paraplegia will still occur, which are both unavoidable and unpredictable.
R A Smith
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  42     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1976 Sep 
Date Detail:
Created Date:  1976-10-01     Completed Date:  1976-10-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  679-84     Citation Subset:  IM    
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MeSH Terms
Aorta / anatomy & histology
Aorta, Abdominal
Aorta, Thoracic
Aortic Aneurysm / complications
Aortic Diseases / complications*
Infarction / etiology
Middle Aged
Paraplegia / etiology
Peripheral Nervous System Diseases / etiology
Spinal Cord / blood supply*
Spinal Cord Diseases / etiology*

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

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