Brown-Sequard syndrome after thoracic endovascular aortic repair

Interact Cardiovasc Thorac Surg. 2010 Jan;10(1):148-9. doi: 10.1510/icvts.2009.219899. Epub 2009 Oct 15.

Abstract

A 76-year-old female had suffered from distal arch aortic aneurysm and chronic DeBakey IIIB type dissecting aneurysm. The patient underwent thoracic endovascular aortic repair (TEVAR). After TEVAR the patient had a motor and proprioceptive loss on the left side and a pain and body temperature loss on the right side below the level of T7. At diagnosis of Brown-Sequard syndrome, corticosteroid and free radical scavenger were administered soon afterwards. Her neurological deficits gradually improved and the patient was discharged with the aid of a walking stick three months after TEVAR.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Aged
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Brown-Sequard Syndrome / drug therapy
  • Brown-Sequard Syndrome / etiology*
  • Brown-Sequard Syndrome / physiopathology
  • Canes
  • Chronic Disease
  • Dependent Ambulation
  • Drug Therapy, Combination
  • Female
  • Free Radical Scavengers / therapeutic use
  • Humans
  • Recovery of Function
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Adrenal Cortex Hormones
  • Free Radical Scavengers