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Published on: December 10, 2020
Management of Recurrent Delayed Neurologic Deficit After Thoracoabdominal Aortic Operation
Mina L Boutrous1, Rana O Afifi1, Hazim J Safi1
1University of Texas Medical at Houston, Health Science Center at Houston, Texas.
Abstract:
Delayed neurologic deficit (DND) is a devastating adverse event after thoracoabdominal aortic aneurysm repair. Multiple adjuncts have been devised to counteract the development of DND, most notably cerebrospinal fluid (CSF) drainage. We report a case of a 63-year-old woman in whom DND developed four times during the first 10 days after her thoracoabdominal aortic operation. This necessitated lumbar drain "weaning" to allow for a slowly rising CSF pressure and preservation of lower extremity motor function.
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