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Anesth Analg 2005;101:322-324
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000159374.53195.B4

CARDIOVASCULAR ANESTHESIA

Brown-Séquard Syndrome Following Removal of a Cerebrospinal Fluid Drainage Catheter After Thoracic Aortic Surgery

Madhusudan Rao Puchakalaya, MBBS, MD, FRCA, and Kevin K. Tremper, MD, PhD

Department of Anesthesiology, University of Michigan, Medical Center, Ann Arbor, Michigan

Address correspondence and reprint requests to Madhusudan Rao Puchakayala, MBBS, MD, FRCA, Department of Anesthesia, Guys and St Thomas’ NHS Foundation Trust, St Thomas’ Hospital, Lambeth Palace Road, London SE1 7EH, UK. Address e-mail to madhu{at}doctors.org.uk.

Neurological deficit remains a devastating complication of thoracic aortic surgery despite advances in methods to protect the spinal cord from ischemia. Various techniques have been used, including the combination of cerebrospinal fluid (CSF) drainage and distal aortic perfusion to decrease the incidence of postoperative neurological deficit. These deficits are usually bilateral and result in paraplegia. In this case report we present a patient with Type B aortic dissection and thoracoabdominal aortic aneurysm repair with insertion of a lumbar CSF drainage catheter. Postoperatively, the patient developed unilateral neurological features consistent with Brown-Séquard syndrome after removal of the CSF catheter. The lumbar cerebrospinal fluid catheter was reinserted and the CSF was drained. Medullary T6-7 signal abnormalities were seen on spinal cord magnetic resonance imaging, and we suggest that the spinal cord suffered a direct injury during catheter removal. The patient had an uneventful recovery.




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H. Vlachtsis
Brown-sequard syndrome following removal of a cerebrospinal fluid drainage catheter after thoracic aortic surgery.
Anesth. Analg., April 1, 2006; 102(4): 1292 - 1292.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
M. R. Puchakayala and K. K. Tremper
Brown-Sequard Syndrome Following Removal of a Cerebrospinal Fluid Drainage Catheter After Thoracic Aortic Surgery
Anesth. Analg., April 1, 2006; 102(4): 1292 - 1292.
[Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.