A Case of Effective Cerebrospinal Fluid Drainage for Paraplegia Caused by Acute Aortic Dissection

• Hayatsu Yukihiro

  Department of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan

• Nagaya Koichi

  Department of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan

• Sakuma Kei

  Department of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan

• Nagamine Susumu

  Department of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan

抄録

A 65-year-old man with sudden back pain was transferred to our hospital by ambulance, who also complained of sensory and motor disorder of bilateral legs on arrival. The neurological disorder was gradually aggravated and paraplegia below the level of Th10 was manifested. Computed tomography demonstrated DeBakey IIIb acute aortic dissection; therefore, the paraplegia was thought to be due to spinal cord ischemia caused by the acute aortic dissection. Emergent cerebrospinal fluid drainage was performed, and it was very effective for the relief from paraplegia.The hospital course after the drainage was uneventful and he was discharged on the 39th day after the onset of symptoms.

収録刊行物

• Annals of Vascular Diseases

  Annals of Vascular Diseases 4 (1), 64-66, 2011

  Annals of Vascular Diseases 編集委員会

キーワード

• acute aortic dissection
• paraplegia
• cerebrospinal fluid drainage

詳細情報

• CRID: 1390001205275296256
• NII論文ID: 130004487908
• DOI: 10.3400/avd.sc.10.01036
• ISSN: 18816428
• ISSN: 1881641X
• Web Site: https://search.jamas.or.jp/link/ui/2012093725
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可