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PARAPLEGIA AFTER A FROZEN ELEPHANT TRUNK PROCEDURE Successful reversal by immediate spinal liquor drainage
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  • Igor Vendramin,
  • Nunzio de Manna,
  • Sandro Sponga,
  • Andrea Lechiancole,
  • Massimo Sponza,
  • Elisabetta Auci,
  • Tiziana Bove,
  • Uberto Bortolotti,
  • Ugolino Livi
Igor Vendramin
University Hospital of Udine
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Nunzio de Manna
University of Verona Department of Medicine
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Sandro Sponga
University Hospital of Udine
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Andrea Lechiancole
University Hospital of Udine
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Massimo Sponza
University Hospital of Udine
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Elisabetta Auci
University Hospital of Udine
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Tiziana Bove
University Hospital of Udine
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Uberto Bortolotti
University Hospital of Udine
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Ugolino Livi
University Hospital of Udine
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Abstract

We report a patient who presented with paraplegia after ascending aorta and arch replacement using the frozen elephant trunk technique. Immediate postoperatively cerebrospinal fluid drainage allowed successful reversal of spinal chord injury. Early awakening of patients following a frozen elephant technique is mandatory because it allows recognition and treatment of this complication by prompt cerebrospinal liquor drainage.