A case of difficulty predicting neurological deficit during thoracoabdominal aortic surgery

Jonathan D. Leff, K. S. Sudheera, Linda Shore-Lesserson

Research output: Contribution to journalArticle

Abstract

Perioperative spinal cord injury associated with thoracoabdominal aorta (TAAA) surgery is a devastating complication. With variable results, the intraoperative use of neurophysiologic monitoring has been employed for the diagnosis and prevention of spinal cord ischemia. We present a case report of a patient undergoing TAAA surgery with the use of evoked potential monitoring. Intraoperatively, both sensory and motor evoked potentials were utilized and consequently the patient experienced changes in monitoring consistent with a new neurologic deficit. However, postoperatively these changes in evoked potentials never manifested in neurologic injury. We examine the utility of neurophysiologic monitoring as it pertains to TAAA surgery.

Original languageEnglish (US)
Pages (from-to)24-27
Number of pages4
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume14
Issue number1
DOIs
StatePublished - Mar 1 2010

Keywords

  • Evoked potentials
  • Neurologic outcomes
  • Spinal cord injury
  • Thoracoabdominal aorta surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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