Cerebrospinal Fluid Drainage as a Useful Treatment to Relieve Paraplegia Caused by Acute Type A Aortic Dissection
10.4326/jjcvs.35.173
- VernacularTitle: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
- Author:
Kouki Takahashi
;
Hirono Satokawa
;
Shoichi Takahashi
;
Yoichi Sato
;
Takashi Ono
;
Shinya Takase
;
Hiroki Wakamatsu
;
Yoshiyuki Sato
;
Hitoshi Yokoyama
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2006;35(3):173-176
- CountryJapan
- Language:Japanese
-
Abstract:
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.
