Boedeker, H and Schmidt, J and Zirngibl, H (1997) Anterior spinal artery syndrome after esophagectomy: a rare complication. CHIRURG, 68 (9). pp. 902-905. ISSN 0009-4722,
Full text not available from this repository.Abstract
We report a case of postoperative paraplegia resembling an anterior spinal artery syndrome after curative esophagectomy in a patient with carcinoma of esophagus and clinical stage III (UICC). Neurologic deficit was characterized by loss of sensibility at the level of T12/L1 together with paraparesis of both lower extremities. Furthermore, dissociated sensorimotor depletion at C6/C7 (rightsided) and at T5 (leftsided) was noted. This severe complication was most probably caused by peeling of an arteriosclerotic plaque of the thoracic aorta due to preexisting advanced arteriosclerosis, leading to a partial occlusion of the great radicular artery of Adamkiewicz. Even though anterior spinal artery syndrome is a well-known problem in the operative management of thoracic aortic aneurysms, this complication has not previously been reported after esophagectomy.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PARAPLEGIA; THORACOTOMY; CORD; carcinoma of esophagus; anterior spinal artery syndrome; transesophageal echocardiography |
| Depositing User: | Dr. Gernot Deinzer |
| Last Modified: | 19 Oct 2022 08:31 |
| URI: | https://pred.uni-regensburg.de/id/eprint/50590 |
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