{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T22:16:00Z","timestamp":1740176160207,"version":"3.37.3"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T00:00:00Z","timestamp":1622592000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T00:00:00Z","timestamp":1622592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["JA Clin Rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Acute onset paraplegia after endovascular aneurysm repair (EVAR) is a rare but well-known complication. We here show a 79-year-old woman with paraplegia caused by static and dynamic spinal cord insult not by ischemia after EVAR.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>The patient underwent EVAR for abdominal aortic aneurism under general anesthesia in the supine position. She had a medical history of lumbar canal stenosis. After the surgery, we recognized severe paraplegia and sensory disorder of lower limbs. Although the possibility of spinal cord ischemia was considered at that time, postoperative magnetic resonance imaging (MRI) revealed burst fracture of vertebra and compressed spinal cord.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Patients with spinal canal stenosis can cause extrinsic spinal cord injury even with weak external forces. Thus, even after EVAR, it is important to consider extrinsic factors as the cause of paraplegia.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40981-021-00447-7","type":"journal-article","created":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T21:03:13Z","timestamp":1622667793000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute-onset paraplegia as an unexpected complication under general anesthesia in supine position during abdominal endovascular aneurysm repair: a case report"],"prefix":"10.1186","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9360-9437","authenticated-orcid":false,"given":"Atsushi","family":"Morio","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirotsugu","family":"Miyoshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noboru","family":"Saeki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukari","family":"Toyota","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuo M.","family":"Tsutsumi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,6,2]]},"reference":[{"issue":"10","key":"447_CR1","doi-asserted-by":"publisher","first-page":"1103","DOI":"10.1016\/j.joca.2012.06.018","volume":"20","author":"Y Ishimoto","year":"2012","unstructured":"Ishimoto Y, Yoshimura N, Muraki S, Yamada H, Nagata K, Hashizume H, et al. Prevalence of symptomatic lumbar spinal stenosis and its association with physical performance in a population-based cohort in Japan: the Wakayama Spine Study. Osteoarthritis Cartilage. 2012;20(10):1103\u20138 PubMed PMID: 22796511. Epub 2012\/07\/10. eng.","journal-title":"Osteoarthritis Cartilage."},{"issue":"8","key":"447_CR2","doi-asserted-by":"publisher","first-page":"818","DOI":"10.1056\/NEJMcp0708097","volume":"358","author":"JN Katz","year":"2008","unstructured":"Katz JN, Harris MB. Clinical practice. Lumbar spinal stenosis. N Engl J Med. 2008;358(8):818\u201325 PubMed PMID: 18287604. eng.","journal-title":"N Engl J Med"},{"key":"447_CR3","doi-asserted-by":"crossref","unstructured":"Seth W. Thoracic and Lunbar Spinal Injuries. In: Harry H, Steven G, Frank E, Gordon B, Richard B, editors. The spine. 6th ed. Netherlands: Elsevier; 2011. p. 1363\u201389.","DOI":"10.1016\/B978-1-4160-6726-9.00078-X"},{"issue":"1","key":"447_CR4","doi-asserted-by":"publisher","first-page":"132","DOI":"10.4103\/0971-9784.173029","volume":"19","author":"H Kothandan","year":"2016","unstructured":"Kothandan H, Haw Chieh GL, Khan SA, Karthekeyan RB, Sharad SS. Anesthetic considerations for endovascular abdominal aortic aneurysm repair. Ann Card Anaesth. 2016;19(1):132\u201341 PubMed PMID: 26750684. PMCID: PMC4900395. eng.","journal-title":"Ann Card Anaesth"},{"issue":"2","key":"447_CR5","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1016\/j.jvs.2018.05.216","volume":"69","author":"K Spanos","year":"2019","unstructured":"Spanos K, K\u00f6lbel T, Kubitz JC, Wipper S, Konstantinou N, Heidemann F, et al. Risk of spinal cord ischemia after fenestrated or branched endovascular repair of complex aortic aneurysms. J Vasc Surg. 2019;69(2):357\u201366 PubMed PMID: 30385148. Epub 2018\/10\/29. eng.","journal-title":"J Vasc Surg"},{"key":"447_CR6","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1016\/j.avsg.2018.03.042","volume":"52","author":"KG Moulakakis","year":"2018","unstructured":"Moulakakis KG, Alexiou VG, Karaolanis G, Sfyroeras GS, Theocharopoulos GN, Lazaris AM, et al. Spinal cord ischemia following elective endovascular repair of infrarenal aortic aneurysms: a systematic review. Ann Vasc Surg. 2018;52:280\u201391 PubMed PMID: 29885430. Epub 2018\/06\/06. eng.","journal-title":"Ann Vasc Surg."},{"issue":"4","key":"447_CR7","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1053\/ejvs.2001.1470","volume":"22","author":"P Berg","year":"2001","unstructured":"Berg P, Kaufmann D, van Marrewijk CJ, Buth J. Spinal cord ischaemia after stent-graft treatment for infra-renal abdominal aortic aneurysms. Analysis of the Eurostar database. Eur J Vasc Endovasc Surg. 2001;22(4):342\u20137 PubMed PMID: 11563894. eng.","journal-title":"Eur J Vasc Endovasc Surg"}],"container-title":["JA Clinical Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-021-00447-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40981-021-00447-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-021-00447-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T21:06:49Z","timestamp":1622668009000},"score":1,"resource":{"primary":{"URL":"https:\/\/jaclinicalreports.springeropen.com\/articles\/10.1186\/s40981-021-00447-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,2]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["447"],"URL":"https:\/\/doi.org\/10.1186\/s40981-021-00447-7","relation":{},"ISSN":["2363-9024"],"issn-type":[{"type":"electronic","value":"2363-9024"}],"subject":[],"published":{"date-parts":[[2021,6,2]]},"assertion":[{"value":"17 March 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 May 2021","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 May 2021","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 June 2021","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from the patient for publication of this case report and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"44"}}