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July 1977

Anterior Spinal Artery Syndrome Following Abdominal Aortic AneurysmectomyCase Report and Review of the Literature

Author Affiliations

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

Arch Surg. 1977;112(7):813-815. doi:10.1001/archsurg.1977.01370070027003

• 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)