文章基本信息

标题：Transient Paraplegia Following Acute Aortic Dissection
本地全文：下载
作者：Kenji Suzuki ; Masakuni Ishiyama ; Shigeki Ishihara 等
期刊名称：循環制御
印刷版ISSN：0389-1844
出版年度：2008
卷号：29
期号：2
页码：159-162
DOI：10.11312/ccm.29.159
出版社：Japan Society of Circulation Control in Medicine
摘要：Presentation of aortic dissection with neurological manifestation is uncommon and the prognosis of this disease must be guarded. We here report a case of 40-year-old man who underwent an emergency operation with ascending aorta replacement under the diagnosis of transient paraplegia with acute aortic dissection(type A). He had the history of hypertrophic cardiomyopathy with left ventricular dysfunction. It was most likely that our patient had ischemia to spinal cord following aortic dissection. On awakening from anesthesia, he was found to be flaccidity and hypersensitive of left lower extremity and dysuria. Nevertheless, he showed steady improvement with return of his neurological function and 83 days after the operation he walked from the hospital with little remaining neurological symptoms or signs.
关键词：paraplegia ; aortic dissection ; hypertrophic cardiomyopathy ; left ventricular dysfunction ; ascending aorta replacement