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 language | English (US) |
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Pages (from-to) | 24-27 |
Number of pages | 4 |
Journal | Seminars in Cardiothoracic and Vascular Anesthesia |
Volume | 14 |
Issue number | 1 |
DOIs | |
State | Published - Mar 2010 |
Keywords
- Evoked potentials
- Neurologic outcomes
- Spinal cord injury
- Thoracoabdominal aorta surgery
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Anesthesiology and Pain Medicine