Long Segment Spinal Cord Infarction after Thoracic Endovascular Aortic Repair Implementation
윤성준, 이선경, 권형민,
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윤성준 ( Yoon Sung-Joon )
Seoul National University College of Medicine SMG-SNU Boramae Medical Center Department of Neurology
이선경 ( Lee Seon-Kyung )
Seoul National University College of Medicine Department of Neurology
권형민 ( Kwon Hyung-Min )
Seoul National University College of Medicine SMG-SNU Boramae Medical Center Department of Neurology
Abstract
The clinical manifestation of spinal cord infarction (SCI) varies according to the involved vascular territory. Aortic disease is the most common cause. Most importantly, SCI after thoracic endovascular aortic repair (TEVAR) occasionally occurs. During surgery, embolism caused by mural hematoma can cause multiple territory infarctions in the spinal cord, brainstem, and cerebellum. In almost all cases, the lesion was focal, but this case showed long segment SCI (thoracic vertebral level 1 to conus medullaris). This patient’s initial symptom was paraplegia, but the symptoms were aggravated by quadriplegia and respiratory depression. As long segment SCI is uncommon, we present a valuable case of SCI after TEVAR implementation.
키워드
Spinal cord ischemia; Endovascular procedure; Thromboembolism
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