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 2010

Fingerprint

Aorta
Evoked Potentials
Intraoperative Neurophysiological Monitoring
Neurophysiological Monitoring
Spinal Cord Ischemia
Nervous System Trauma
Motor Evoked Potentials
Neurologic Manifestations
Spinal Cord Injuries

Keywords

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

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

A case of difficulty predicting neurological deficit during thoracoabdominal aortic surgery. / Leff, Jonathan D.; Sudheera, K. S.; Shore-Lesserson, Linda.

In: Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 14, No. 1, 03.2010, p. 24-27.

Research output: Contribution to journalArticle

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