AnatomyOrganismsDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesDisciplines and OccupationsHealth Care
Spinal Cord IschemiaSpinal CordParaplegiaIschemiaSpinal Cord InjuriesConstrictionAortic DiseasesAorta, AbdominalAortic Aneurysm, ThoracicReperfusion InjuryAorta, ThoracicReperfusionParaparesisAortographyArterial Occlusive DiseasesCerebrospinal Fluid PressureIschemic PreconditioningAortic Aneurysm, AbdominalTime FactorsBlood Vessel Prosthesis ImplantationBrain IschemiaRabbitsSubclavian ArteryInfarctionInjections, SpinalSpinal Cord DiseasesMyocardial IschemiaDisease Models, AnimalEvoked Potentials, SomatosensoryMonitoring, IntraoperativeBalloon OcclusionParaparesis, SpasticThoracic ArteriesSpinal Cord CompressionEmbolectomySpinal Cord NeoplasmsRegional Blood FlowDrainageRats, Sprague-DawleyMotor NeuronsEvoked Potentials, MotorTreatment OutcomeNeuroprotective AgentsEndovascular ProceduresNeurologic ExaminationHindlimbBlood Vessel ProsthesisHypothermia, InducedEndarterectomyPostoperative ComplicationsCerebrospinal FluidVascular Surgical ProceduresBlood PressureAortic AneurysmTomography, X-Ray ComputedRandom AllocationAngioplastyThoracotomyStentsIliac ArteryDogsHemodynamicsBlood VolumeEmbolismAneurysm, DissectingIntraoperative ComplicationsSpinal Nerve RootsNeuronsAortaSpinal NervesIn Situ Nick-End LabelingMalondialdehydeCoronary OcclusionSpinal Cord RegenerationAnastomosis, SurgicalAortic RuptureRetrospective StudiesAcute DiseaseCatheterizationProsthesis DesignSpinal CanalRetinal Artery OcclusionImmunohistochemistryRetinal Vein OcclusionCervical VertebraeRecovery of FunctionSpinal NeoplasmsQuadriplegiaAnesthesia, SpinalThoracic VertebraeIschemic Attack, TransientUmbilical CordInfarction, Middle Cerebral ArterySpinal DiseasesMyocardial Reperfusion InjurySwinePosterior Horn CellsLaminectomyRats, Wistar
AortaDissectionAneurysmAneurysmsStenosisRepair of the aortic archTraumaInvolving the aortic archCardiacArterial occlusionArchAcute2022ThoracoabdominalHours of reperfusionInfarctionDistalMyelopathyCoronaryDissectionsNeurologicalValveLumbar spinEVARSevereLesionCoarctationSpineEpidural abscessPatientsProtect the spinal cordMyocardialInflammationProximalThrombosisCompressionSurgerySyndromePrognosisDiseaseVenousInvolvesPeripheralIschemicAnteriorUnderwentHemorrhage
Aorta23
  • Diseases in aorta are recognized as a widely seen contributor of spontaneous spinal cord ischaemia, represented by rupturing of thoracic aortic aneurysm, arterial occlusion by aortic intima separated from endothelial wall in aortic dissection, and aortic coarctation. (wikipedia.org)
  • Thoracic endovascular aortic repair (TEVAR) was carried out to introduce a stent graft in order to treat thoracoabdominal aortic aneurysm, a condition of enlarged aorta with weakened vascular wall, as well as traumas and atherosclerosis. (wikipedia.org)
  • OBJECTIVE: This study compares the effects of immediate ischemic preconditioning based on somatosensory evoked potential (SSEP) monitoring with those of cerebrospinal fluid drainage in a model of descending thoracic aorta occlusion in dogs. (scielo.org)
  • CONCLUSION: Cerebrospinal fluid drainage and immediate ischemic preconditioning seems to protect the spinal cord during descending thoracic aorta cross-clamping. (scielo.org)
  • Spinal cord infarction in disease and surgery of the aorta. (medscape.com)
  • Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) provides a new tool in selected patients for the management of non-compressible torso hemorrhage. (bmj.com)
  • Saccular TAAs were identified in the upper thoracic aorta during the evaluation of AAA. (vsijournal.org)
  • Simultaneous EVAR and TEVAR can be considered for patients with AAA and saccular TAA in the upper thoracic aorta. (vsijournal.org)
  • A 4.2 cm-sized saccular thoracic aortic aneurysm (arrow) involving the aortic arch in initial computed tomography (CT) angiography (A) and intra-op angiography (B). Initial CT angiography showed 5.6 cm sized infrarenal abdominal aorta (C). Both pathologies were present in the three-dimensional reconstructive image (D). (vsijournal.org)
  • Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a tool to temporarily halt exsanguination in trauma patients with noncompressible torso or pelvic injuries. (openanesthesia.org)
  • Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. (openanesthesia.org)
  • The American Association for the Surgery of Trauma's Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry recently compared the effectiveness of REBOA to open aortic occlusion (AO) in 114 patients across 8 trauma centers. (openanesthesia.org)
  • Damage to an extravertebral, i.e. supplying, artery or the aorta leads to a spinal cord infarction more frequently than due to intrinsic disorders of the spinal arteries. (medicinelearners.com)
  • Because of the variable location of the magna radicular artery, such an infarction as a complication of an operation on the thoracic aorta is known and feared. (medicinelearners.com)
  • Surgical repair of the aorta and placement of a synthetic graft are needed for ascending aortic dissection and for certain descending aortic dissections. (msdmanuals.com)
  • Endovascular stent grafts are an option for selected patients with descending dissections, especially when dissection involves the descending thoracic aorta. (msdmanuals.com)
  • Type I (50% of dissections): These dissections start in the ascending aorta and extend at least to the aortic arch and sometimes beyond. (msdmanuals.com)
  • Type III (15%): These dissections start in the descending thoracic aorta just beyond the origin of the left subclavian artery and extend distally or, less commonly, proximally. (msdmanuals.com)
  • Type IIIa dissections originate distal to the left subclavian artery and are confined to the thoracic aorta. (msdmanuals.com)
  • More common causes are aneurysms of the aorta or ischemia after aortic surgery, compression of vascular structures by tumors, thrombosis or embolism and arterio-venous malformations. (fortunejournals.com)
  • A 44 year old man who presented with a history of chest pain and dyspnoea was found to have an aneurysm of the aortic root, aortic valve insufficiency, and coarctation of the aorta. (biomedcentral.com)
  • It occurs at the isthmus of the aorta (distal aortic arch between the left subclavian and the site of the ligamentum arteriosus) where there is a discrete narrowing [ 1 ]. (biomedcentral.com)
  • There was clear evidence of collateral circulation to the descending thoracic aorta via the subclavian and intercostal arteries. (biomedcentral.com)
Dissection8
  • Only among the EVAR patients, aortic related death occurred in 1 patient（5.6%), which was acute type A aortic dissection. (or.jp)
  • An aortic dissection and polyarteritis nodosa can be responsible for a spinal cord infarction. (medicinelearners.com)
  • Aortic disease causing ischemia (e.g., dissection, thrombosed aneurysm). (tomwademd.net)
  • Aortic dissection is the surging of blood through a tear in the aortic intima with separation of the intima and media and creation of a false lumen (channel). (msdmanuals.com)
  • Symptoms and signs include abrupt onset of tearing chest or back pain, and dissection may result in aortic regurgitation and compromised circulation in branch arteries. (msdmanuals.com)
  • Clinical and pathologic findings of aortic dissection at autopsy: Review of 336 cases over nearly 6 decades. (msdmanuals.com)
  • The angiography revealed a complete occlusion of the right coronary artery with intraluminar dissection and the ultrasound a severe malfunction of the right ventricle. (hippokratia.gr)
  • Comparative outcomes of physician-modified fenestrated-branched endovascular repair of post-dissection and degenerative complex abdominal or thoracoabdominal aortic aneurysms. (sc-ctsi.org)
Aneurysm11
  • This essay sets out to discuss the care of one such patient, following surgery to repair an abdominal aortic aneurysm. (nursinganswers.net)
  • The care of a patient following surgical abdominal aortic aneurysm repair follows the principles of general postoperative surgical care, along with specific interventions, monitoring and support that are a consequence of the condition and the nature of the surgery. (nursinganswers.net)
  • He was referred to the local hospital for tests, which eventually led to a diagnosis of abominal aortic aneurysm. (nursinganswers.net)
  • Abdominal Aortic Aneurysm. (nursinganswers.net)
  • Abdominal Aortic Aneurysm (AAA) is a fairly common condition (the 14th leading cause of death in the US (Birkmeyer and Upchurch, 2007). (nursinganswers.net)
  • Objective:The availability of endovascular aneurysm repair（EVAR）has gradually increased the number of patients undergoing surgical treatment for ruptured abdominal aortic aneurysm（rAAA). (or.jp)
  • We report a case of a successful single stage repair of a complex aortic coarctation with concomitant root aneurysm, and aortic valve insufficiency. (biomedcentral.com)
  • This was confirmed with echocardiography which also demonstrated a tricuspid aortic valve with significant aortic regurgitation in the presence of an aortic root aneurysm of approximately 9 cm. (biomedcentral.com)
  • The scan noted an aortic root aneurysm (8.8 cm), in addition to the presence of severe aortic coarctation, with subtotal occlusion and a lumen less than 6 mm in size. (biomedcentral.com)
  • A multidisciplinary team meeting took place and a consensus was agreed to proceed with a two staged hybrid approach, with the first phase involving an endovascular approach to stent the coarctation, followed by a second stage to perform the surgical repair of the aortic root aneurysm. (biomedcentral.com)
  • Perioperative and long-term outcomes after open conversion of endovascular aneurysm repair versus primary open aortic repair. (sc-ctsi.org)
Aneurysms7
  • RESULTS: This study comprised 173 patients (mean age=58±13, range=28-83, 148 men) with thoracic aortic pathologies, including 44 thoracic aortic aneurysms, 113 aortic dissections (9 type A, 4 residual type A, 75 type B, 32 non-A non-B), 3 aortic intramural hematomas, and 13 penetrating aortic ulcers. (bvsalud.org)
  • presented a large German case series of 250 patients who underwent repair of thoracic and thoraco-abdominal aneurysms using the frozen elephant trunk (FET) repair technique. (dicardiology.com)
  • With the recent increase in imaging tests, coexisting abdominal aortic aneurysms (AAAs) and thoracic aortic aneurysms (TAAs) are being discovered accidentally. (vsijournal.org)
  • As imaging tests are common during medical check-ups, coexisting thoracic aortic aneurysms (TAAs) and abdominal aortic aneurysms (AAAs) are often discovered incidentally. (vsijournal.org)
  • Abdominal aortic aneurysms are those which are located below the diaphragmatic border, and account for 75% of aortic aneurysms (Irwin, 2007). (nursinganswers.net)
  • A spinal cord infarction occurs much more frequently as a result of blockages in the arteries caused by tumors, aortic aneurysms or aortic dissections. (medicinelearners.com)
  • A spinal cord infarction is an emergency and is a complication of various vascular diseases such as aortic aneurysms, arteriosclerosis or others. (medicinelearners.com)
Stenosis7
  • Health Status after Transcatheter vs. Surgical Aortic Valve Replacement in Low-Risk Patients with Aortic Stenosis. (shda.org.au)
  • This prospective study was conducted alongside the PARTNER 3 trial (patients with severe aortic stenosis, at low surgical risk, 1:1 randomisation to either SAVR or TAVR). (shda.org.au)
  • Aortic Stenosis and Cardiac Amyloidosis. (shda.org.au)
  • This review discusses the clinical overlap, diagnosis, and management of cardiac amyloidosis (CA) and aortic stenosis (AS). (shda.org.au)
  • Early Surgery or Conservative Care for Asymptomatic Aortic Stenosis. (shda.org.au)
  • Spinal stenosis, ankylosing spondylitis. (tomwademd.net)
  • CT scan with contrast may detect bony abnormalities of the spinal canal (e.g., spinal stenosis), but is less sensitive for soft tissue disorders. (tomwademd.net)
Repair of the aortic arch2
  • CLINICAL IMPACT: Our short- and mid-term outcomes of physician-modified endografts in 173 patients showed promising results compared to other branched/fenestrated techniques and backed up the endovascular repair of the aortic arch. (bvsalud.org)
  • Risk of Stroke with Thoracic Endovascular Aortic Repair of the Aortic Arch. (sc-ctsi.org)
Trauma13
  • Yet, we couldn´t find any reported case of a trauma patient, that describes a late onset complete paraplegia of the lower limbs caused by spinal chord ischaemia without a spinal (chord) injury. (fortunejournals.com)
  • Spinal ischemia in traumatized patients is rarely described, and when it occurs, it is usually associated with direct trauma to the spine and consecutive vascular injury. (fortunejournals.com)
  • To date, no case has been described in the literature in which traumatized patients developed vascular myelopathy with a time delay without the presence of direct spinal trauma or direct vertebral vascular injury. (fortunejournals.com)
  • Althoughdamage of the heart vessels is a possible complication of blunt thoracic trauma, occlusion of the right coronary artery is rare and demands high level of suspicion by the emergency physicians. (hippokratia.gr)
  • Our objective is to present a case of fatal acute occlusion of the right coronary artery after blunt thoracic trauma due to vehicle accident and conduct a brief review of the current literature. (hippokratia.gr)
  • A 58-year-old sustained chest trauma after a vehicle accident, complicated by acute occlusion of the right coronary artery. (hippokratia.gr)
  • Acute occlusion of the right coronary artery is a rare complication of blunt chest trauma. (hippokratia.gr)
  • Injury of the heart and large vessels is a common complication after blunt thoracic trauma. (hippokratia.gr)
  • After a thorough clinical examination and a complete set of laboratory and imaging tests, it was concluded that the patient had sustained a severe blunt thoracic trauma with fracture of the sternum and the 4th, 6th and 9th ribs and absence of pneumothorax and hemothorax. (hippokratia.gr)
  • These findings were attributed to the blunt thoracic trauma. (hippokratia.gr)
  • Intraspinal grafting of human neural stem cells represents a promising approach to promote recovery of function after spinal trauma. (biomedcentral.com)
  • Extensive experimental and clinical data show that the mechanisms leading to a clinically-defined loss of neurological function after spinal trauma can in general be considered in two categories. (biomedcentral.com)
  • Thoracic outlet syndrome (TOS) refers to a spectrum of signs and symptoms that arise from the compression Compression Blunt Chest Trauma of the neurovascular bundle by any of the various structures within the confined space of the thoracic outlet, usually within the scalene triangle. (lecturio.com)
Involving the aortic arch3
  • OBJECTIVE: This study aimed to evaluate the outcomes of physician-modified endografts (PMEGs) for the treatment of thoracic aortic pathologies involving the aortic arch. (bvsalud.org)
  • CONCLUSIONS: Physician-modified endografts showed promising immediate therapeutic results in the treatment of thoracic aortic pathologies involving the aortic arch. (bvsalud.org)
  • Computed tomography (CT) angiography showed 4.2 cm sized saccular TAA involving the aortic arch just distal to the left subclavian artery (LSA) and 5.6 cm sized AAA in the infrarenal region. (vsijournal.org)
Cardiac3
  • Spinal cord injury is associated with sustainable disability and results in loss of bladder, respiratory, cardiac, or sexual functions, and in varying degree of paralysis [ 2 ]. (intechopen.com)
  • Short Answer - Example Questions 1 Question 1 Short Title You are phoned by the pre-assessment nurse Section Clinical - short case Topic Cardiac/Thoracic Author Mike Tremlett / Jonathan Purday Opening question A pre-assessment nurse asks you to see a 36 year old male listed for a nasal polypectomy. (fdocuments.us)
  • Reduction in myocardial contractility results in decreased cardiac output, hypotension, systemic vasoconstriction, and cardiac ischemia. (medscape.com)
Arterial occlusion1
  • Whereas arterial occlusion in the spinal region quickly becomes symptomatic by neurological deficits, venous outflow obstruction may be clinically unnoticed for much longer and usually manifests as a slowly progressive neurological deficit. (fortunejournals.com)
Arch1
  • Long-term outcomes are required for further refinement of this technical approach to confirm technical success and durability over time as a valuable option for endovascular aortic arch repair in specialized centers. (bvsalud.org)
Acute7
  • Acute spinal cord injury b. (babelouedstory.com)
  • These include acute transverse myelitis, spinal cord compression, and various demyelinating disorders. (medicinelearners.com)
  • Spinal ischemia underlies 6% of acute myelopathies [1]. (fortunejournals.com)
  • In the recently published case report by Haynes et al, intraarticular thrombolysis with tissue plasminogen activator (t-PA) in combination with verapamil and an antiplatelet agent (Eptifibatide) was performed for acute occlusion of the anterior spinal artery in a 52-year-old patient. (fortunejournals.com)
  • Here we characterized the effect of intraspinal grafting of clinical grade human fetal spinal cord-derived neural stem cells (HSSC) on the recovery of neurological function in a rat model of acute lumbar (L3) compression injury. (biomedcentral.com)
  • Peri-acute intraspinal grafting of HSSC can represent an effective therapy which ameliorates motor and sensory deficits after traumatic spinal cord injury. (biomedcentral.com)
  • Acute Liver Failure after Treatment with Rivaroxaban for Aortic Thrombosis Associated with COVID-19 Infection and Methylenetetrahydrofolate Reductase Gene Polymorphism (C677T). (kbsplit.hr)
20222
  • METHODS: A retrospective single-center study was performed on consecutive patients with thoracic aortic pathologies treated by PMEGs between February 2018 and May 2022. (bvsalud.org)
  • In this post, I link to and excerpt the section on Cauda Equina Sydrome from Dr. Josh Farkas 's outstanding Internet Book of Critical Care 's [Link is to the TOC] chapter Spinal Cord , May 14, 2022. (tomwademd.net)
Thoracoabdominal1
  • Ischemia/reperfusion (I/R) injury of the spinal cord is a dynamic process that frequently occurs during a variety of clinical situations such as thoracoabdominal aortic surgery or spinal cord injury [ 1 ]. (biomedcentral.com)
Hours of reperfusion2
Infarction23
Distal2
Myelopathy4
  • Hyperactive reflexes in the legs with less active arm reflexes suggest thoracic myelopathy (although a cervical lesion is also possible). (emcrit.org)
  • Myelopathy is a clinical diagnosis with localization of the neurological findings to the spinal cord, rather than the brain or the peripheral nervous system, and then to a particular segment of the spinal cord. (bvsalud.org)
  • Myelopathy can be the result of primary intrinsic disorders of the spinal cord or from secondary conditions, which result in extrinsic compression of the spinal cord. (bvsalud.org)
  • Treatment of vascular myelopathy or spinal ischemia primarily involves improving spinal perfusion. (fortunejournals.com)
Coronary5
Dissections1
Neurological1
  • For example, antiplatelet and corticosteroids might be used to reduce the risk of blood clots in ischaemic spinal stroke patients, while rapid surgical decompression is applied to minimize neurological injuries in haemorrhagic spinal stroke patients instead. (wikipedia.org)
Valve3
  • In the discussion following the presentation, Joseph Bavaria, M.D. , co-director, transcatheter valve program and director, thoracic aortic surgery program at Penn Medicine, noted that these timely findings were likely to affect national policy actions governing TAVR implementation in the United States. (dicardiology.com)
  • CA may be present in up to 15% of those with AS and has been associated with higher rates of heart failure, increased mortality, and treatment futility of surgical aortic valve replacement. (shda.org.au)
  • The patient underwent a single stage procedure to treat the aortic root, valve and coarctation with a composite valved conduit and extra-anatomic bypass of the coarctation. (biomedcentral.com)
Lumbar spin2
  • The aim of this paper was to identify and characterize all the segmental radiculomedullary arteries (RMAs) that supply the thoracic and lumbar spinal cord. (thejns.org)
  • The segmental RMAs supplying the thoracic and lumbar spinal cord can be unilateral, bilateral, or multiple. (thejns.org)
EVAR1
  • We report two cases of simultaneous endovascular aortic repair (EVAR) and thoracic endovascular aortic repair (TEVAR) for AAA and TAA. (vsijournal.org)
Severe4
  • Patients with a male gender, younger age, lower body mass index, hypertension, diabetes mellitus, renal insufficiency and chronic obstructive pulmonary disease are predisposed to higher risks of severe spinal cord stroke. (wikipedia.org)
  • In central spinal cord syndrome, impairment of motor function in the upper body is considerably more severe than that of lower body, which is related to hyperextension of corticospinal tracts and spinocerebellar tract in cervical spinal cord, accompanied by dysfunction in urinary bladder and sensational loss at a varying degree. (wikipedia.org)
  • Various pathological conditions, including surgical treatments, traumatic injuries, embolism, malformations and tumors, result in severe changes in the arterial blood supply to the spinal cord [ 1 ]. (intechopen.com)
  • Results:About half of 17 patients（48.6%）were assigned to open repair and as many as 14 of them（82.4%）were excluded from the indication of endovascular treatment due to anatomical unsuitability, which included an extremely short proximal neck, severe aortic elongation and access route problems. (or.jp)
Lesion5
  • Signs and symptoms are related to the portion of spinal cord affected, and appear below the level of lesion. (wikipedia.org)
  • Evaluating for a sensory level using a pin to detect pain sensation is more sensitive to detect a spinal level originating from a lesion in the spinothalamic tract. (emcrit.org)
  • Motor weakness may be used to evaluate the level of a spinal lesion that involves the corticospinal tract. (emcrit.org)
  • Thus, a central spinal cord lesion may cause neurologic deficits in a descending order. (emcrit.org)
  • Spinal cord lesion in the cervical or thoracic cord (especially a central cord lesion). (tomwademd.net)
Coarctation1
  • Aortic coarctation is a relatively common congenital abnormality. (biomedcentral.com)
Spine5
  • Cases of spinal stroke following operations like aortography, spinal anesthesia and lumbar spine surgery are reported. (wikipedia.org)
  • Note that the spinal cord level doesn't line up precisely with the corresponding vertebrae, especially caudal to the thoracic spine. (emcrit.org)
  • Lhermitte's sign (an electric-shock sensation elicited by neck flexion that runs down the spine and sometimes into the limbs) suggests involvement of the posterior columns of the cervical spinal cord. (emcrit.org)
  • Injuries of the spine or the spinal chord were not apparent. (fortunejournals.com)
  • Neurogenic shock, another form of distributive shock, usually results from a cervical or high thoracic spine injury (above T6) leading to the sudden loss of sympathetic tone. (medscape.com)
Epidural abscess2
  • Spinal epidural abscess. (tomwademd.net)
  • Lumbar puncture is initially contraindicated , since this could exacerbate a spinal epidural abscess or epidural hematoma. (tomwademd.net)
Patients5
  • Patients may spend years for rehabilitation after the spinal cord stroke. (wikipedia.org)
  • Of the patients in this series, there was only one patient death and none of the patients developed spinal cord ischemia. (dicardiology.com)
  • Patients with partial cord involvement may fail to display a sensory level. (emcrit.org)
  • Both patients were successfully discharged without spinal cord ischemia. (vsijournal.org)
  • In a randomized, prospective, parallel, controlled trial, 216 patients undergoing elective thoracic pulmonary resection under one-lung ventilation with propofol-remifentanil anesthesia were randomized 1:1 to receive either limb RIPC or conventional lung resection (control). (silverchair.com)
Protect the spinal cord1
Myocardial1
  • Myocardial glycogen and lactate levels were maintained near control levels during hypothermic ischemia. (neuraxismed.com)
Inflammation2
  • Embolism, meningeal inflammation at spinal cord, global ischaemia and abusing nicotinic drugs are also identified to factors. (wikipedia.org)
  • Introduction: These studies were designed to determine whether PJ34, a novel Poly-ADP Ribose Polymerase Inhibitor, modulates expression of markers of stress and inflammation in the spinal cord following ischemia/ reperfusion(TAR). (elsevierpure.com)
Proximal1
  • Notably, these responses are most apparent with more proximal zone I occlusion vs. zone III occlusion. (openanesthesia.org)
Thrombosis2
  • If an unusual cause for the spinal thrombosis is suggested, such as vasculitis or infection, one must consider drugs effective in that disorder including steroids and antibiotics, respectively. (medscape.com)
  • Thrombosis/occlusion of the inferior vena cava causing enlargement of the epidural venous plexus. (tomwademd.net)
Compression1
  • Three-month-old female Sprague-Dawley rats received L3 spinal compression injury. (biomedcentral.com)
Surgery2
  • Although deliberate hypotension during surgery may potentially cause organ ischaemia, in particular of the myocardium and cerebrum, it is widely used as an adjuvant. (annals.edu.sg)
  • He is Chief of the Division of Vascular Surgery and Endovascular Therapy, Chief of Vascular Surgery at Keck Hospital of USC, and Co-Director of the USC CardioVascular Thoracic Institute. (sc-ctsi.org)
Syndrome11
  • Brown-Séquard syndrome is only the subtype that affects the spinal cord unilaterally, either anteriorly, posteriorly, or both. (wikipedia.org)
  • If this is negative, imaging of the cervical and thoracic cord should be considered (to look for a central cord syndrome at a higher level that may be masquerading as cauda equina syndrome). (tomwademd.net)
  • Conus medullaris syndrome refers to pathology at the very end of the spinal cord (usually at the T12-L1 level). (tomwademd.net)
  • The patient was intubated, a thoracic tube was placed at the right side of the chest due to pleural effusion and the patient was transferred to a general ICU with the diagnosis of systemic inflammatory response syndrome (SIRS) and multi-organ dysfunction syndrome (MODS). (hippokratia.gr)
  • Less common causes of neurogenic shock include spinal anesthesia, transverse myelitis, Guillain-Barré syndrome , and autonomic nervous system toxins. (medscape.com)
  • Thoracic Outlet Syndrome" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (rush.edu)
  • This graph shows the total number of publications written about "Thoracic Outlet Syndrome" by people in this website by year, and whether "Thoracic Outlet Syndrome" was a major or minor topic of these publications. (rush.edu)
  • Below are the most recent publications written about "Thoracic Outlet Syndrome" by people in Profiles. (rush.edu)
  • Thoracic outlet syndrome secondary to an anomalous subclavius muscle. (rush.edu)
  • Thoracic outlet syndrome can present as the neurogenic, arterial, or venous type. (lecturio.com)
  • Wyburn-Mason Syndrome Associated With Cutaneous Reactive Angiomatosis and Central Retinal Vein Occlusion. (uchicago.edu)
Prognosis1
  • The prognosis of spinal ischemia depends on the severity of the neurologic deficit that presents at the beginning [5]. (fortunejournals.com)
Disease5
  • The disease is either arisen spontaneously from aortic illnesses or postoperatively. (wikipedia.org)
  • Preventions of the disease include decreasing the risk factors and maintaining enough spinal cord perfusion pressure during and after the operation. (wikipedia.org)
  • Treatments for spinal cord stroke are mainly determined by the symptoms and the causes of the disease. (wikipedia.org)
  • This may be harder than it sounds, because spinal cord disease is uncommon and not generally high on our list of considerations. (emcrit.org)
  • Selection criterion for endovascular aortic repair in those with chronic kidney disease. (sc-ctsi.org)
Venous1
Involves1
  • Therefore, a sensory level to light touch may be absent unless both of these are involved (e.g., a complete injury that involves all spinal cord tracts). (emcrit.org)
Peripheral1
  • Single- or repetitive-pulse stimulation of the brain causes the spinal cord and peripheral muscles to produce neuroelectrical signals known as motor evoked potentials (MEPs). (medscape.com)
Ischemic3
Anterior8
  • Unlike anterior spinal cord stroke, motor functions are not handicapped in posterior spinal cord stroke. (wikipedia.org)
  • The reduced blood flow to anterior and posterior radicular artery could trigger spinal stroke. (wikipedia.org)
  • Multiple AKAs or additional RMAs supplying a single anterior spinal artery are common and should be considered when dealing with the spinal cord at the thoracolumbar level. (thejns.org)
  • All 929 left internal thoracic artery grafts were to the left anterior descending (LAD) artery, whereas 84 right internal thoracic artery (RITA) grafts, 680 radial artery (RA) grafts and 543 saphenous vein (SV) grafts were anastomosed to various non-LAD targets. (dicardiology.com)
  • Thus, diseases affecting the anterior horn of the spinal cord cause flaccid paralysis. (emcrit.org)
  • It should be borne in mind that certain segments of the spinal cord are particularly susceptible to ischemia due to the sometimes low collateral supply to the anterior spinal artery. (medicinelearners.com)
  • Arteriosclerosis or an embolism can restrict the blood supply to the anterior (belly) located anterior spinal artery and the posterior (back) located spinal artery. (medicinelearners.com)
  • MRI diagnostic showed an anterior hyperintense area in the region of the anterior spinal cord in the sagittal T2- weight, correspondingly hyperintense areas are often found in the axial layers [4, 5]. (fortunejournals.com)
Underwent1
  • The Control Group underwent only aortic cross-clamping (n=6). (scielo.org)
Hemorrhage1
  • Abrupt onset of pain at the back or neck marks the location of ischaemia or hemorrhage at the beginning, which radiates as the damage intensifies. (wikipedia.org)