Neurologic Complications of Aortic Surgery

Eelco F. M. Wijdicks

in Neurologic Complications of Critical Illness

Third edition

Published on behalf of © Mayo Foundation for Medical Education and Research

Published in print May 2009 | ISBN: 9780195371093
Published online April 2013 | e-ISBN: 9780199322886 | DOI:

Series: Contemporary Neurology Series

Neurologic Complications of Aortic Surgery

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Spinal cord injury from aortic surgery is a devastating complication. Once the damage is done, therapeutic intervention is rarely successful and the handicap from paraplegia is expected to be permanent. Thus prevention of spinal cord injury, if possible at all, remains a challenge to the skills of vascular surgeons and monitoring anesthesiologists. Novel methods of spinal cord monitoring, such as selective intercostal arterial perfusion using motor evoked potentials (MEPs), and noninvasive detection of the critical artery of Adamkiewicz by magnetic resonance angiography (MRA), have appeared and may potentially affect the incidence of spinal cord infarction but experience remains limited. The diagnostic approach, validity of intraoperative monitoring, and therapeutic options are discussed in this chapter.

Chapter.  8555 words.  Illustrated.

Subjects: Neurology

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