Ischemic Affection of the Spinal Cord as a Result of the Blunt Thoracic Trauma – A Case Report

Česká verzia

Authors: K. Šmejkal ¹; I. Žvák ¹; T. Holeček ²; P. Habal ³; P. Lochman ¹
Authors place of work: Katedra válečné chirurgie, Fakulta vojenského zdravotnictví UO Hradec Králové vedoucí katedry: doc. MUDr. L. Klein, CSc. ¹; Chirurgická klinika FN a LF UK Hradec Králové, přednosta kliniky: doc. MUDr. A. Ferko, CSc. ²; Kardiochirurgická klinika FN a LF UK Hradec Králové, přednosta kliniky: doc. MUDr. J. Harrer, Ph. D. ³
Published in the journal: Rozhl. Chir., 2008, roč. 87, č. 7, s. 344-346.
Category: Monothematic special - Original

Summary

Authors present the case of a patient who suffered the blunt thoracic trauma. In the clinical picture there dominated the paraplegia of both the lower extremities. Due to the weakened breathing on the right side the urgent thoracic drainage was performed. For circulation instability and amount of blood passing out of the drain an urgent thoracotomy was indicated even prior to the CT or MRI. During the operation bleeding from the Adamkiewicz’s artery was spotted and sanated. After the postoperative stabilization the CT and MRI investigations proved the spinal cord ischemia as a cause of the local damage.

Key words:
blunt thoracic trauma – Adamkiewicz’s artery – spinal cord ischemia

Zdroje

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