2016 Volume 25 Pages 353-357
A 70-year-old man underwent successful stent-graft (SG) deployments for a 54-mm distal arch and a 74-mm descending aortic aneurysm. Delayed paraplegia appeared 2 days after the SG treatment, and spinal cord ischemia was considered to be the cause. An urgent cerebrospinal fluid drainage (CSF-D) was started. Although the patient improved gradually in 3 hours after the initial drainage, he suffered from paraplegia again 3 hours after the improvement of initial onset of paraplegia; bimodal delayed paraplegia appeared. In addition to continuous CSF-D, administration of d-mannitol and corticosteroid and physical rehabilitation were started. He recovered completely from paraplegia in a week after the SG treatment. The urgent CSF-D, additional d-mannitol and corticosteroid can be considered effective treatments in patients with ongoing spinal cord ischemia after thoracic SG placement.
