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Related Experiment Videos

Spinal ischemia following abdominal aortic surgery.

L R Ferguson, J J Bergan, J Conn

    Annals of Surgery
    |March 11, 1975
    PubMed
    Summary

    Serious spinal cord ischemia can occur after abdominal aortic surgery. This review highlights the syndrome and notes that spontaneous recovery is possible, even without clear causes like hypotension.

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    Area of Science:

    • Vascular Surgery
    • Neurology
    • Spinal Cord Medicine

    Background:

    • Spinal cord ischemia is a serious complication following infrarenal abdominal aortic surgery.
    • The exact cause of paraplegia in these cases is multifactorial and not fully understood.
    • Existing literature includes 23 published cases of this syndrome.

    Purpose of the Study:

    • To identify and emphasize the importance of spinal cord ischemia after aortic surgery.
    • To highlight the potential for spontaneous recovery from this neurological deficit.
    • To review contributing factors and anatomical considerations.

    Main Methods:

    • Summary of five new cases of spinal cord ischemia.
    • Inclusion of 23 previously published cases for analysis.
    • Review of spinal cord arterial anatomy and potential contributing factors.

    Main Results:

    • The syndrome can occur without hypotension, steal phenomena, or emboli.
    • Common anatomical anomalies in arteriosclerotic patients undergoing aortic surgery predispose to spinal cord ischemia.
    • Spinal cord ischemia is a recognized, albeit complex, complication.

    Conclusions:

    • Spinal cord ischemia is a significant risk after infrarenal abdominal aortic surgery.
    • Spontaneous recovery is a possibility that warrants attention.
    • Currently, no definitive preventive measures are available for this complication.

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