Paralysis Research Today is a free monthly online journal that collates and summarizes the latest research about Paralysis, including details on treatment, diagnosis, facial paralysis, sleep paralysis.

Successful management of both early and delayed-onset neurological deficit following extent II thoracoabdominal aneurysm repair.

Richards JM, Hayward I, Moores C, Chalmers RT

University of Edinburgh and Royal Infirmary of Edinburgh, United Kingdom. jenny.Richards@ed.ac.uk

INTRODUCTION: Delayed-onset paraplegia is an uncommon but devastating complication of thoracoabdominal aneurysm repair. REPORT: We report the successful use of repeat cerebrospinal fluid drainage in the management of both immediate- and delayed-onset (21 days) paraplegia in the same patient undergoing open Type II thoracoabdominal aneurysm repair. DISCUSSION: Few studies have looked specifically at preventing delayed onset of symptoms. We advocate continued attention to blood pressure management and hydration for the duration of hospital stay and recommend repeat CSF drainage if symptoms occur.

Published 8 April 2008 in Eur J Vasc Endovasc Surg, 35(5): 593-5.
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