title: Successful management of both early and delayed-onset neurological deficit following extent II thoracoabdominal aneurysm repair.
abstract: BACKGROUND
  Delayed-onset paraplegia is an uncommon but devastating complication of thoracoabdominal aneurysm repair.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.affiliation: University of Edinburgh and Royal Infirmary of Edinburgh, United Kingdom. jenny.Richards@ed.ac.uk
authors.forename: J M J
authors.initials: JM
authors.lastname: Richards
authors.forename: I
authors.initials: I
authors.lastname: Hayward
authors.forename: C
authors.initials: C
authors.lastname: Moores
authors.forename: R T A
authors.initials: RT
authors.lastname: Chalmers
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D002555:Cerebrospinal Fluid; D004322:Drainage; D006801:Humans; D007022:Hypotension / Q000517:prevention & control / Q000628:therapy; D007511:Ischemia / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology / Q000628:therapy*; D013116:Spinal Cord / Q000098:blood supply*; D013997:Time Factors