Successful Management of Both Early and Delayed-Onset Neurological Deficit Following Extent II Thoracoabdominal Aneurysm Repair

IntroductionDelayed-onset paraplegia is an uncommon but devastating complication of thoracoabdominal aneurysm repair.ReportWe report the successful use of repeat cerebrospinal fluid drainage in the management of both immediate- and delayed-onset (21 days) paraplegia in the same patient undergoing open Type II thoracoabdominal aneurysm repair.DiscussionFew studies have looked specifically at preventing delayed onset of symptoms. We advocate continued attention to blood pressure management and hydration for the duration of hospital stay and recommend repeat CSF drainage if symptoms occur