Fukunaga Naoto, Yuzaki Mitsuru, Nasu Michihiro, Okada Yukikatsu
Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, 2-1-1 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan,
Gen Thorac Cardiovasc Surg. 2014 May;62(5):321-3. doi: 10.1007/s11748-013-0254-0. Epub 2013 Apr 23.
A 67-year-old man underwent surgical repair for a Crawford extent V thoracoabdominal aortic aneurysm under cerebrospinal fluid drainage and motor evoked potential monitor on distal aortic perfusion. Postoperatively, weakness of right-sided leg graded 2/5 and bladder disorder were recognized. Magnetic resonance imaging revealed hyperintensity between Th11 and L1 on T2-weighted image. Intravenous glycerin and edaravone for spinal cord ischemia had been administered. The strength of right leg resolved completely with disappearance of hyperintensity on magnetic resonance image. Finally, he could walk on foot with bladder disorder.
一名67岁男性在脑脊液引流和远端主动脉灌注运动诱发电位监测下，接受了Crawford V型胸腹主动脉瘤的手术修复。术后，发现右侧腿部肌力为2/5级且存在膀胱功能障碍。磁共振成像显示在T2加权图像上胸11和腰1之间有高信号。已给予静脉注射甘油和依达拉奉治疗脊髓缺血。右腿力量完全恢复，磁共振图像上的高信号消失。最后，他虽仍有膀胱功能障碍，但能够步行。
