Document Detail


Successful management of both early and delayed-onset neurological deficit following extent II thoracoabdominal aneurysm repair.
MedLine Citation:
PMID:  18226568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Delayed-onset paraplegia is an uncommon but devastating complication of thoracoabdominal aneurysm repair. REPORT: 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. DISCUSSION: 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.
Authors:
J M J Richards; I Hayward; C Moores; R T A Chalmers
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-01-15
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  35     ISSN:  1532-2165     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-08     Completed Date:  2008-04-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  593-5     Citation Subset:  IM    
Affiliation:
University of Edinburgh and Royal Infirmary of Edinburgh, United Kingdom. jenny.Richards@ed.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Thoracic / complications,  surgery*
Blood Vessel Prosthesis Implantation / adverse effects*
Cerebrospinal Fluid
Drainage
Humans
Hypotension / prevention & control,  therapy
Ischemia / prevention & control*
Male
Middle Aged
Paraplegia / etiology,  therapy*
Spinal Cord / blood supply*
Time Factors

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


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