This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (23)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Case Report and Review of the Literature

R. Randall Grace, MD; Kenneth L. Mattox, MD

Arch Surg. 1977;112(7):813-815.

Abstract
• Paraplegia developed in a 70-year-old man after resection of a ruptured abdominal aortic aneurysm during which aortic occlusion time was 45 minutes. Between one and three months postoperatively, he progressively recovered motor function to the point where he could walk unaided. Only four patients have previously been reported to recover from paraplegia produced in this manner. A review of the literature on the anatomy of the arterial supply to the spinal cord indicates the importance of the anterior spinal artery and the artery of Adamkiewicz (arteria magna radicularis). Paraplegia is more common in patients with hypotension and when backbleeding from the lumbar arteries has been poor.

(Arch Surg 112:813-815, 1977)

Author Affiliations
From the Cora and Webb Mading Department of Surgery, Baylor College of Medicine, and the Ben Taub General Hospital, Houston.

Footnotes
Accepted for publication Feb 7, 1977.

Reprint requests to 1200 Moursund Ave, Houston, TX 77030 (Dr Mattox).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Transient paraplegia as a presenting feature of aortic dissection in a young man
Syed and Fiad
Emerg. Med. J. 2002;19:174-175.
ABSTRACT | FULL TEXT