| Cerebrospinal Fluid Drainage as a Useful Treatment to Relieve Paraplegia Caused by Acute Type A Aortic Dissection |
(Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine, Fukushima, Japan)
| Kouki Takahashi |
Hirono Satokawa |
Toshizumi Shirai |
| Yoichi Sato |
Takashi Ono |
Shinya Takase |
| Hiroki Wakamatsu |
Yoshiyuki Sato |
Hitoshi Yokoyama |
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We report a rare case of acute type A aortic dissection with paraplegia which was reversed using cerebrospinal fluid drainage (CFD). The patient was a 80-year-old man who was admitted with acute back pain and paraplegia. Computed tomographic scans showed an acute type A aortic dissection. Four hours after onset of paraplegia, CFD was initiated by inserting an intrathecal catheter at L3-L4. Cerebrospinal fluid was drained freely by gravity whenever the pressure exceeded 10cmH2O. After 32h, the neurological deficit was completely resolved. CFD can be considered a useful treatment in patients with paraplegia after acute aortic dissection.
Jpn. J. Cardiovasc. Surg. 35: 173-176 (2006) |
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