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Anesth Analg 2006;102:1292
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000199212.18392.EC

LETTER TO THE EDITOR

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

Helen Vlachtsis, BSc, MBChB, FRCA

Department of Anaesthesia, Wythenshawe Hospital, Manchester, United Kingdom, hvlachtsis{at}hotmail.com

To the Editor:

I read with interest the case report by Puchakalaya and Tremper (1). The practice in our hospital is similar to that described by the authors, as we also insert the spinal drainage catheter into the patient before surgery on thoracic and thoracoabdominal aortic aneurysms. I am concerned about advancing the catheter 17 cm into the intrathecal space. We only advance the catheter 5 cm into the intrathecal space. The authors postulated that the mechanism of spinal cord injury might have been a result of coiling of the catheter and subsequent uncoiling on removal resulting in spinal cord injury. Fortunately, there were no long-term neurological sequelae. However, advancing a shorter length of catheter into the intrathecal space might have reduced the risk.

Reference

  1. Puchakayala MR, Tremper KK. Brown-Séquard syndrome following removal of a cerebrospinal fluid drainage catheter after thoracic aortic surgery. Anesth Analg 2005;101:322–4.[Abstract/Free Full Text]




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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