Successful reversal of delayed paraplegia associated with chronic type A aortic dissection using a spinal drain.
Delayed neurological deficit (DND) following thoracic and thoracoabdominal aortic aneurysm repair refers to any neurological deficit in a patient who is evaluated to be neurologically intact postoperatively, but develops neurological problems several hours or days later which can be reversed if identified and treated immediately. We report a rare case where cerebrospinal fluid drainage reversed DND that happened 18 months following type A dissection repair.
Attaran
Saina
S
Department of Cardiac Surgery, Thoracic Aortic Aneurysm Service, Liverpool Heart and Chest Hospital, Liverpool L14 3PE, UK. saina.attaran@kcl.ac.uk
Desmond
Michael
M
Field
Mark
M
Oo
Aung
A
D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D002908:Chronic Disease; D004322:Drainage / Q000379:methods*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000209:etiology / Q000628:therapy*; D012086:Reoperation; D013129:Spinal Puncture; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome