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Semin Cardiothorac Vasc Anesth · Mar 2010
Case ReportsA case of difficulty predicting neurological deficit during thoracoabdominal aortic surgery.
- Jonathan D Leff, K S Sudheera, and Linda Shore-Lesserson.
- Department of Anesthesiology, Montefiore Medical Center, Bronx, NY 10467, USA. jleff@montefiore.org
- Semin Cardiothorac Vasc Anesth. 2010 Mar 1; 14 (1): 24-7.
AbstractPerioperative 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.
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