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[Postoperative spinal cord ischemia in thoracoabdominal aneurysms]
J Latorre1, A Rosendo, J Vidal
1Servicio de Angiología y Cirugía Vascular Instituto Guttmann, Barcelona, España.
Angiologia
|September 1, 1991
Summary
Paraplegia following thoracoabdominal aneurysm surgery is a significant risk. Monitoring spinal cord function with somatosensory evoked potentials (SEP) and motor evoked potentials (MEP) can help detect intraoperative changes.
Area of Science:
- Neurosurgery
- Vascular Surgery
- Neurology
Context:
- This study analyzes 12 cases of paraplegia after thoracoabdominal aneurysm surgery.
- Patient data were collected between 1973 and 1987, focusing on treatment and rehabilitation of spinal cord injury.
- The research examines risk factors, surgical techniques, complications, and injury types.
Purpose:
- To analyze the incidence and characteristics of paraplegia following thoracoabdominal aneurysm repair.
- To identify risk factors and common types of spinal cord injury.
- To evaluate preventive strategies and recommend methods for intraoperative monitoring.
Summary:
- Anterior medullary syndrome was the most frequent spinal cord injury, observed in over 60% of cases.
- Analysis included surgical techniques, periprocedural complications, and patient outcomes.
- Preventive measures and neurophysiological monitoring techniques were investigated.
Impact:
- Highlights the risk of paraplegia in complex aortic surgery.
- Recommends somatosensory evoked potentials (SEP) and motor evoked potentials (MEP) for real-time intraoperative monitoring.
- Suggests improved surgical strategies and patient management to mitigate neurological deficits.