{"id":"7aececc0-b694-4ea7-9e92-138ac109140b","slug":"cerebrospinal-fluid-drainage-and-blood-pressure-elevation-to-treat-acute-spinal-cord-infarct","title":"Cerebrospinal fluid drainage and blood pressure elevation to treat acute spinal cord infarct","authors":["Tamara A. Strohm","Seby John","Muhammad S. Hussain"],"abstract":"Background: Current management of acute spinal cord infarction (SCI) is limited. Lumbar cerebrospinal fluid drainage (CSFD) with blood pressure augmentation is utilized in the thoracic/thoracoabdominal aortic repair and thoracic endovascular aortic repair (TEVAR) populations to increase spinal perfusion pressure. Case description: We identified 3 patients who sustained acute SCI and underwent CSFD and maintenance of elevated mean arterial pressure (MAP) within 24 hours of injury. The first patient exhibited delayed-onset ischemia after a TEVAR. The second patient presented with an acute type B aortic intramural hematoma. The third patient developed spinal cord ischemia following bronchial artery embolization. There was significant improvement in the motor examination (e.g., ASIA impairment scale grade B or C) to grade D utilizing both blood pressure augmentation and CSFD. Conclusions: Lumbar CSFD with MAP elevation benefited 3 patients with acute SCI of varying etiologies.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/7aececc0-b694-4ea7-9e92-138ac109140b/featured/hero-1782420860835.png","publishDate":"2018-09-21T00:00:00.000Z","doi":"10.4103/sni.sni_2_18","categories":["Spine","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2018/09/9014/SNI-9-195.pdf"}