title: Successful reversal of immediate paraplegia associated with repair of acute Type A aortic dissection using cerebrospinal fluid drainage.
abstract: We present a case of a 49-year old man who suffered from immediate paraplegia upon awakening from anaesthesia after surgery for acute aortic dissection Type A. A catheter was promptly inserted into the spinal canal for cerebrospinal fluid drainage, and the cerebrospinal fluid pressure was maintained <10 cmH2O. Although magnetic resonance imaging showed extensive spinal cord ischaemia, the patient gradually recovered from the paraplegia and was able to walk by himself after rehabilitation. In some cases, cerebrospinal fluid drainage can be effective for the treatment of immediate postoperative spinal cord damage.
authors.affiliation: Department of Cardiovascular Surgery, School of Medicine, Tokai University, Isehara, Kanagawa, Japan.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Shimura
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Cho
authors.forename: Akira
authors.initials: A
authors.lastname: Aki
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Ueda
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D057785:Catheters; D015170:Cerebrospinal Fluid Pressure; D004322:Drainage / Q000295:instrumentation; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000134:cerebrospinal fluid / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D020760:Spinal Cord Ischemia / Q000134:cerebrospinal fluid / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Acute aortic dissection; Cerebrospinal fluid drainage; Paraplegia