• Rev Port Cir Cardiotorac Vasc · Jul 2017

    Case Reports

    Reversal of Acute Spinal Cord Injury in the Immediate Post-Operative Period After Thoracoabdominal Aneurysm Repair with CSF Drainage.

    • Marisa Silva and Ana Ferro.
    • Centro Hospitalar de Lisboa Central, Portugal.
    • Rev Port Cir Cardiotorac Vasc. 2017 Jul 1; 24 (3-4): 195.

    IntroductionSpinal cord injury after thoracoabdominal aortic aneurysm surgery is a devastating and unpredictable complication (1). With surgical manipulation, particularly with aortic clamping, cerebrospinal fluid (CSF) pressure may rise, and its pressure exceeds the spinal arterial pressure, spinal perfusion may be reduced, leading to neurological dysfunction.Methods And ResultsThis clinical case reports to a 70-year-old male patient with an early onset of post-operative paraesthesia of the lower limbs in the immediate post-operative period of thoracoabdominal aortic aneurysm repair. Reversal of the neurological deficit was achieved after emergency CSF drainage.ConclusionCSF drainage has a therapeutic potential value of reducing its pressure, allowing an improvement of spinal perfusion pressure, therefore diminishing the risk of an ischemic and permanent lesion(2), thus it may have a role in preventing and/or treating acute paraplegia.

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