Kouvelos George N, Papa Nektario, Nassis Christos, Xiropotamos Nikolaos, Papadopoulos George, Matsagkas Miltiadis I
Department of Surgery, Vascular Surgery Unit, Medical School, University of Ioannina, 45500 Ioannina, Greece.
Case Rep Med. 2011;2011:954572. doi: 10.1155/2011/954572. Epub 2011 Jun 16.
Neurologic deficit secondary to spinal cord ischemia after elective infrarenal, endovascular aneurysm repair (EVAR), consists a rare and rather disastrous complication. The etiology of such neurologic complication seems to be multifactorial, making this event unpredictable and foremost unpreventable. We report a case of paraparesis and bladder dysfunction that occurred immediately after the EVAR procedure. Prompt management by conservative or invasive methods seems to be important for the reversal of the neurologic deficit and the optimization of patient's outcome.
选择性肾下血管内动脉瘤修复术（EVAR）后继发于脊髓缺血的神经功能缺损是一种罕见且极具灾难性的并发症。这种神经并发症的病因似乎是多因素的，使得这一事件不可预测且首要的是无法预防。我们报告一例在EVAR手术后立即出现的双下肢轻瘫和膀胱功能障碍病例。通过保守或侵入性方法进行及时处理对于逆转神经功能缺损和优化患者预后似乎很重要。
