Key result
Urgent cerebrospinal fluid drainage combined with steroid treatment and naloxone infusion successfully reversed delayed postoperative paraplegia in a patient with type A acute aortic dissection.
Population
One 52-year-old male with delayed paraplegia after emergency total arch replacement for Stanford type A acute aortic dissection
Design
Case report
Follow-up
20 days postoperatively
Authors
Loading...
May support reversal of delayed paraplegia after aortic repair; hypothesis-generating and requires prospective validation.
Case Report (n=1)
No
Early diagnosis and prompt intervention with cerebrospinal fluid drainage and medical therapy can successfully reverse delayed paraplegia complicating total arch replacement for acute type A aortic dissection.
Zaikokuji et al. (2019) conducted a case report in Type A acute aortic dissection with delayed postoperative paraplegia (n=1). Cerebrospinal fluid drainage, steroid treatment, and naloxone was evaluated on Resolution of paraplegia. Urgent cerebrospinal fluid drainage combined with steroid treatment and naloxone infusion successfully reversed delayed postoperative paraplegia in a patient with type A acute aortic dissection.
Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context: