Spinal ischemia following abdominal aortic surgery
Serious spinal cord ischemia may follow infrarenal abdominal aortic surgery. Five cases are summarized and added to the 23 previously published cases in order to identify this syndrome, emphasize its importance, and draw attention to the possibility of spontaneous recovery which may occur. The multi...
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| Veröffentlicht in: | Annals of surgery 1975-03, Vol.181 (3), p.267-272 |
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| container_title | Annals of surgery |
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| creator | Ferguson, L R Bergan, J J Conn, Jr, J Yao, J S |
| description | Serious spinal cord ischemia may follow infrarenal abdominal aortic surgery. Five cases are summarized and added to the 23 previously published cases in order to identify this syndrome, emphasize its importance, and draw attention to the possibility of spontaneous recovery which may occur. The multifactorial complex which comprises each patient's clinical picture clouds a precise and specific cause for paraplegia in these cases. However, neither hypotension, steal phenomena nor emboli are necessary for completion of the syndrome. The relevant spinal cord arterial anatomy indicates that the common anomalies which occur favor development of spinal cord ischemia in the arteriosclerotic population which requires aortic surgery. No means of prevention is possible at this time. |
| doi_str_mv | 10.1097/00000658-197503000-00004 |
| format | Article |
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Five cases are summarized and added to the 23 previously published cases in order to identify this syndrome, emphasize its importance, and draw attention to the possibility of spontaneous recovery which may occur. The multifactorial complex which comprises each patient's clinical picture clouds a precise and specific cause for paraplegia in these cases. However, neither hypotension, steal phenomena nor emboli are necessary for completion of the syndrome. The relevant spinal cord arterial anatomy indicates that the common anomalies which occur favor development of spinal cord ischemia in the arteriosclerotic population which requires aortic surgery. 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Five cases are summarized and added to the 23 previously published cases in order to identify this syndrome, emphasize its importance, and draw attention to the possibility of spontaneous recovery which may occur. The multifactorial complex which comprises each patient's clinical picture clouds a precise and specific cause for paraplegia in these cases. However, neither hypotension, steal phenomena nor emboli are necessary for completion of the syndrome. The relevant spinal cord arterial anatomy indicates that the common anomalies which occur favor development of spinal cord ischemia in the arteriosclerotic population which requires aortic surgery. No means of prevention is possible at this time.</description><subject>Aged</subject><subject>Aorta, Abdominal - surgery</subject><subject>Aortic Aneurysm - surgery</subject><subject>Fecal Incontinence - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Ischemia - etiology</subject><subject>Ischemia - pathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Paraplegia - etiology</subject><subject>Postoperative Complications</subject><subject>Sensation</subject><subject>Spinal Cord - blood supply</subject><subject>Spinal Cord - pathology</subject><subject>Syndrome</subject><subject>Urinary Incontinence - etiology</subject><issn>0003-4932</issn><issn>1528-1140</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1975</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkE1PwzAMhiMEGmPwE5B64lZwmqRJL0ho4kuaxAE4R2mabkFpM5IWtH9Pu40vXyK_tl87D0IJhksMBb-CMXImUlxwBmRI0lGhB2iKWTbImMIhmg4SSWlBsmN0EuMbAKYC-ARNMCYgaD5F2fPatsolNuqVaaxKau-c_7TtMlFl5ZttUfnQWZ3EPixN2Jyio1q5aM727wy93t2-zB_SxdP94_xmkWqGoUsZ0ZTXORdYaUXyioHAGlheGVVqkxWshMqYXPGxTYuSGAGi5lhsryyBzND1znfdl42ptGm7oJxcB9uosJFeWfm_0tqVXPoPiQklgvLB4GJvEPx7b2Inm-GbxjnVGt9HKTKRcxjwzJDYNergYwym_lmCQY685Tdv-cN7K9Fh9Pzvkb-DO8DkC294fA4</recordid><startdate>19750301</startdate><enddate>19750301</enddate><creator>Ferguson, L R</creator><creator>Bergan, J J</creator><creator>Conn, Jr, J</creator><creator>Yao, J S</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19750301</creationdate><title>Spinal ischemia following abdominal aortic surgery</title><author>Ferguson, L R ; Bergan, J J ; Conn, Jr, J ; Yao, J S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c510t-53c47f6781aca36d5081c056deabce295b0dee6a7c47fc8b3e808f71800148b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1975</creationdate><topic>Aged</topic><topic>Aorta, Abdominal - surgery</topic><topic>Aortic Aneurysm - surgery</topic><topic>Fecal Incontinence - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Ischemia - etiology</topic><topic>Ischemia - pathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Paraplegia - etiology</topic><topic>Postoperative Complications</topic><topic>Sensation</topic><topic>Spinal Cord - blood supply</topic><topic>Spinal Cord - pathology</topic><topic>Syndrome</topic><topic>Urinary Incontinence - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferguson, L R</creatorcontrib><creatorcontrib>Bergan, J J</creatorcontrib><creatorcontrib>Conn, Jr, J</creatorcontrib><creatorcontrib>Yao, J S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferguson, L R</au><au>Bergan, J J</au><au>Conn, Jr, J</au><au>Yao, J S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spinal ischemia following abdominal aortic surgery</atitle><jtitle>Annals of surgery</jtitle><addtitle>Ann Surg</addtitle><date>1975-03-01</date><risdate>1975</risdate><volume>181</volume><issue>3</issue><spage>267</spage><epage>272</epage><pages>267-272</pages><issn>0003-4932</issn><eissn>1528-1140</eissn><abstract>Serious spinal cord ischemia may follow infrarenal abdominal aortic surgery. Five cases are summarized and added to the 23 previously published cases in order to identify this syndrome, emphasize its importance, and draw attention to the possibility of spontaneous recovery which may occur. The multifactorial complex which comprises each patient's clinical picture clouds a precise and specific cause for paraplegia in these cases. However, neither hypotension, steal phenomena nor emboli are necessary for completion of the syndrome. The relevant spinal cord arterial anatomy indicates that the common anomalies which occur favor development of spinal cord ischemia in the arteriosclerotic population which requires aortic surgery. No means of prevention is possible at this time.</abstract><cop>United States</cop><pmid>1130846</pmid><doi>10.1097/00000658-197503000-00004</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Annals of surgery, 1975-03, Vol.181 (3), p.267-272 |
| issn | 0003-4932 1528-1140 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Aged Aorta, Abdominal - surgery Aortic Aneurysm - surgery Fecal Incontinence - etiology Female Humans Ischemia - etiology Ischemia - pathology Male Middle Aged Paraplegia - etiology Postoperative Complications Sensation Spinal Cord - blood supply Spinal Cord - pathology Syndrome Urinary Incontinence - etiology |
| title | Spinal ischemia following abdominal aortic surgery |
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