title: Reversal of acute monoparesis following thoracoabdominal aortic aneurysm repair.
abstract: A 67-year-old man underwent surgical repair for a Crawford extent V thoracoabdominal aortic aneurysm under cerebrospinal fluid drainage and motor evoked potential monitor on distal aortic perfusion. Postoperatively, weakness of right-sided leg graded 2/5 and bladder disorder were recognized. Magnetic resonance imaging revealed hyperintensity between Th11 and L1 on T2-weighted image. Intravenous glycerin and edaravone for spinal cord ischemia had been administered. The strength of right leg resolved completely with disappearance of hyperintensity on magnetic resonance image. Finally, he could walk on foot with bladder disorder.
authors.affiliation: Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, 2-1-1 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan, naotowakimachi@hotmail.co.jp.
authors.forename: Naoto
authors.initials: N
authors.lastname: Fukunaga
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Yuzaki
authors.forename: Michihiro
authors.initials: M
authors.lastname: Nasu
authors.forename: Yukikatsu
authors.initials: Y
authors.lastname: Okada
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D004322:Drainage; D019054:Evoked Potentials, Motor / Q000502:physiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010291:Paresis / Q000209:etiology* / Q000503:physiopathology; D010477:Perfusion; D011183:Postoperative Complications / Q000209:etiology / Q000473:pathology*; D020760:Spinal Cord Ischemia / Q000209:etiology / Q000473:pathology; D014656:Vascular Surgical Procedures