{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:10:04Z","timestamp":1756314604211,"version":"3.44.0"},"reference-count":25,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,4,8]]},"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>A woman in her 50s presented with uncontrolled hypertension, chest\/back pain, paraplegia, right lower limb ischaemia and acute kidney injury. A CT angiogram demonstrated a type B aortic dissection originating distal to the left subclavian artery to bilateral common iliac arteries complicated by occlusion of the right renal artery and right common iliac artery. She was started on intravenous antihypertensive therapy and transferred to our institution for emergent thoracic endovascular aortic repair. Due to bleeding risk from coagulopathy, a spinal drain was not placed immediately post-operatively but instead was inserted after 24 hours while maintaining a mean arterial pressure of 80\u2013100\u2009mm Hg. Postoperatively, her right lower extremity perfusion was re-established, and her renal function recovered following temporary dialysis. At discharge on postoperative day 13, she regained full neurological function.<\/jats:p>","DOI":"10.1136\/bcr-2021-248149","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T11:38:35Z","timestamp":1653305915000},"page":"e248149","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Recovery of neurological function following type B aortic dissection complicated by paraplegia"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7191-1034","authenticated-orcid":false,"given":"Ben","family":"Li","sequence":"first","affiliation":[{"name":"Division of Vascular Surgery, St. Michael\u2019s Hospital, Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeyad","family":"Khoshhal","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, St. Michael\u2019s Hospital, Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Common","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, St. Michael\u2019s Hospital, Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Qadura","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, St. Michael\u2019s Hospital, Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada"},{"name":"Keenan Research Centre for Biomedical Science and Li Ka Shing Knowledge Institute of St. Michael\u2019s Hospital, Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,4,22]]},"reference":[{"key":"2025082709320741000_15.4.e248149.1","first-page":"339","article-title":"Type B aortic dissection","volume":"3","author":"Harris","year":"2014","journal-title":"Ann Cardiothorac Surg"},{"key":"2025082709320741000_15.4.e248149.2","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X15625371"},{"key":"2025082709320741000_15.4.e248149.3","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1093\/icvts\/ivx034","article-title":"Rare spinal cord infarction in a patient with acute type B aortic dissection","volume":"24","author":"Sekine","year":"2017","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2025082709320741000_15.4.e248149.4","doi-asserted-by":"crossref","first-page":"1559","DOI":"10.1016\/j.athoracsur.2018.10.045","article-title":"Endovascular versus open repair for chronic type B dissection treatment: a meta-analysis","volume":"107","author":"Boufi","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"2025082709320741000_15.4.e248149.5","doi-asserted-by":"crossref","first-page":"1599","DOI":"10.1016\/j.jvs.2018.08.187","article-title":"Systematic review and meta-analysis of acute type B thoracic aortic dissection, open, or\u00a0endovascular repair","volume":"69","author":"Harky","year":"2019","journal-title":"J Vasc Surg"},{"key":"2025082709320741000_15.4.e248149.6","doi-asserted-by":"crossref","first-page":"1632","DOI":"10.1016\/j.drudis.2016.06.015","article-title":"Current and emerging treatment options for spinal cord ischemia","volume":"21","author":"Nardone","year":"2016","journal-title":"Drug Discov Today"},{"key":"2025082709320741000_15.4.e248149.7","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2000.7158"},{"key":"2025082709320741000_15.4.e248149.8","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1093\/icvts\/ivaa176","article-title":"Chronic type B aortic dissection complicated by repetitive spinal cord ischaemia","volume":"31","author":"Fujimoto","year":"2020","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2025082709320741000_15.4.e248149.9","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.jvs.2011.12.078","article-title":"Recovery of paraplegia after type B dissection due to spinal collateral recruitment","volume":"56","author":"Niclauss","year":"2012","journal-title":"J Vasc Surg"},{"key":"2025082709320741000_15.4.e248149.10","unstructured":"Zenith AlphaTM thoracic endovascular graft proximal components | Cook medical. 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