Cerebrospinal Fluid Drainage as a Useful Treatment to Relieve Paraplegia Caused by Acute Type A Aortic Dissection

DOI 2 Citations
  • Takahashi Kouki
    Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine
  • Satokawa Hirono
    Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine
  • Takahashi Shoichi
    Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine
  • Sato Yoichi
    Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine
  • Ono Takashi
    Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine
  • Takase Shinya
    Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine
  • Wakamatsu Hiroki
    Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine
  • Sato Yoshiyuki
    Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine
  • Yokoyama Hitoshi
    Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine

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Other Title
  • 急性大動脈解離により発症した対麻痺に対し脊髄ドレナージ（ＣＦＤ）が有効であった１例

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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.

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