[HSF] Aortic dissection and paraplegia

[Michael Firstenberg]

cant hurt..... I have seen very impressive improvements with immediate drainage - even delayed

-m


On Dec 20, 2009, at 8:25 AM, Igor Rudez wrote:

> John,
> If spinal cord ischemia lasted more than 12 hours the damage is already
> done, there's nothing you can do to improve patient's situation. 
> 
> Igor
> 
> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of john pj
> Sent: Sunday, December 20, 2009 2:16 PM
> To: OpenHeart-L at lists.hsforum.com
> Subject: [HSF] Aortic dissection and paraplegia
> 
> 
>  
>  
>  
> We have a patient who presented with Type A dissection involving the   whole
> aorta   and paraplegia. He underwent replacement   of ascending aorta    and
> there is no change in his paraplegia status.
>  
> How to mange such patients?
>  
> I read a case report in which they used CSF drainage and noloxone infusion  
> successfully for a paraplegia associated with type b dissection.
>  Is there any role for spinal revascularization?
> 
> 
> 
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