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KMID : 1034720200120020079
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Journal of Neurosonology and Neuroimaging
2020 Volume.12 No. 2 p.79 ~ p.82
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Long Segment Spinal Cord Infarction after Thoracic Endovascular Aortic Repair Implementation
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Yoon Sung-Joon
Lee Seon-Kyung
Kwon Hyung-Min
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Abstract
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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.
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KEYWORD
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Spinal cord ischemia, Endovascular procedure, Thromboembolism
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