title: Management of Recurrent Delayed Neurologic Deficit After Thoracoabdominal Aortic Operation.
abstract: Delayed neurologic deficit (DND) is a devastating adverse event after thoracoabdominal aortic aneurysm repair. Multiple adjuncts have been devised to counteract the development of DND, most notably cerebrospinal fluid (CSF) drainage. We report a case of a 63-year-old woman in whom DND developed four times during the first 10 days after her thoracoabdominal aortic operation. This necessitated lumbar drain "weaning" to allow for a slowly rising CSF pressure and preservation of lower extremity motor function.
authors.affiliation: University of Texas Medical at Houston, Health Science Center at Houston, Texas. Electronic address: mina.l.boutrous@uth.tmc.edu.
authors.forename: Mina L
authors.initials: ML
authors.lastname: Boutrous
authors.affiliation: University of Texas Medical at Houston, Health Science Center at Houston, Texas.
authors.forename: Rana O
authors.initials: RO
authors.lastname: Afifi
authors.affiliation: University of Texas Medical at Houston, Health Science Center at Houston, Texas.
authors.forename: Hazim J
authors.initials: HJ
authors.lastname: Safi
authors.affiliation: University of Texas Medical at Houston, Health Science Center at Houston, Texas.
authors.forename: Anthony L
authors.initials: AL
authors.lastname: Estrera
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D019468:Disease Management; D005260:Female; D006801:Humans; D008875:Middle Aged; D009422:Nervous System Diseases / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D013997:Time Factors; D014656:Vascular Surgical Procedures / Q000009:adverse effects*