[Cerebrospinal fluid drainage to treat delayed paraplegia after stent grafting of the descending thoracic aorta].

Abstract

Delayed onset of paraplegia secondary to spinal cord ischemia is a rare but serious complication that can appear after endovascular repair of an aneurysm in the descending thoracic aorta, although this complication is significantly less frequent after stent grafting than after conventional surgical repair. We report the case of a man who developed paraplegia 36 hours after insertion of 4 stents in the descending thoracic aorta. The paraplegia reversed after a spinal catheter was placed to monitor cerebrospinal fluid pressure and to provide drainage.

• Authors: F E Fernández Suárez, L Argüelles Tamargo, A F Quintela Baizán, T Brid Castañión, P Delgado García, J Carballo Lázaro
• Journal: Revista espanola de anestesiologia y reanimacion (Rev Esp Anestesiol Reanim) Vol. 53 Issue 3 Pg. 191-3 (Mar 2006) ISSN: 0034-9356 [Print] Spain
• Vernacular Title: Drenaje de líquido cefalorraquídeo como tratamiento de una paraplejia tardía después de la colocación de endoprótesis en aorta torácica descendente.
• PMID: 16671263 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Aged
• Angioplasty, Balloon
• Aortic Aneurysm, Thoracic (therapy)
• Cerebrospinal Fluid
• Drainage
• Humans
• Ischemia (etiology)
• Male
• Paraplegia (etiology, surgery)
• Spinal Cord (blood supply)
• Stents