Sudden onset of paraplegia from acute aortic occlusion: a review of 2 cases and their unique presentation

Cowan, Kyle N.; Lawlor, D. Kirk

doi:10.1016/j.ajem.2006.01.008

Cited by 13 publications

(6 citation statements)

References 5 publications

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“… 2 3 Acute neurological deficits with lower limb paresis on both sides and paralysis have also been described. 8 9 In all reported cases, an emergent surgical intervention was performed to avoid an otherwise catastrophic outcome (death or limb loss). All patients were treated either with aortobiilliac/aortobifemoral bypass or with extra-anatomic revascularization of the lower extremities.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Acute Thrombosis of Abdominal Aortic Aneurysm without Acute Limb Ischemia

Vasdekis

Mastoraki

Lazaris

et al. 2018

Aorta

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Acute thrombosis of an abdominal aortic aneurysm (AAA) is a rare and often devastating complication with high morbidity and mortality. In some cases, however, it may be associated with a silent course without signs of acute limb ischemia. The aim of this report is to describe an unusual case of acute thrombosis of AAA without signs of acute limb ischemia. Preoperative anxiety, stress, and phobia for surgery may be factors predisposing to acute thrombosis of an AAA.

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Section: Discussionmentioning

confidence: 99%

An Unusual Case of Acute Thrombosis of Abdominal Aortic Aneurysm without Acute Limb Ischemia

Vasdekis

Mastoraki

Lazaris

et al. 2018

Aorta

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“…Posteriormente se planteó isquemia medular aguda que si bien es cierto puede presentarse de forma aislada, también existen casos reportados de isquemia medular aguda asociados con el SL y el conocimiento de esta relación nos acerca más al diagnóstico, porque la isquemia medular sí explica claramente los síntomas neurológicos de la paciente si se recuerda que parte de la irrigación de la médu-la espinal está dada por arterias intercostales bajas y lumbares a través de la arteria radicular magna para la médula toracolumbar (T8-L5), y arterias lumbares bajas, iliolumbares 7 y sacras laterales, ramas de las hipogástricas, para la cauda equina 16 . De tal modo que la oclusión infrarrenal de la aorta puede producir debilidad de extremidades inferiores por neuropatía isquémica de la cauda equina 16,17 como ocurrió en este caso. Finalmente y por la rápida evolución del cuadro clínico con ausencia de pulso, piel moteada y fría se planteó el diagnóstico de SL y se solicitó la angiotomografía aórtica siendo este el método diagnóstico más apropiado para confirmar la oclusión trombótica de la arteria aorta infrarrenal 3,10,14,18 .…”

Section: Discussionunclassified

Caso clínico de interés: síndrome de Leriche

Chaves

Pineda²,

Imbachi³

2016

rcslibre

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El síndrome de Leriche es una afección causada por obstrucción de la aorta terminal, las ramas principales de la aorta abdominal, como en la obstrucción aortoilíaca. El síndrome de Leriche suele darse en varones y está caracterizado por impotencia, ausencia de pulso en las arterias femorales, debilidad y entumecimiento en región lumbar, nalgas, caderas y extremidades inferiores. En muchas ocasiones esta entidad es poco conocida en el ámbito de América Latina; algunos casos reportados en países como Bolivia, Brasil, Argentina, Chile, México entre otros, describen características propias de experiencias en casos de pacientes en algunas instituciones de estos países. Se quiere dar a conocer un caso encontrado en el Hospital San José de Popayán en el área de urgencias y generar la importancia de realizar un enfoque terapéutico adecuado ante entidades con compromiso vascular extenso porque producen un pronóstico catastrófico si no se realiza atención oportuna, diagnóstico precoz y tratamiento temprano. Palabras clave: Enfermedad arterial oclusiva, Obstrucción aorta, Obstrucción de aorta abominal,Síndrome de Leriche. AbstractThe Leriche syndrome is a condition caused by occlusion of terminal aorta, the primary branches of the abdominal aorta, as in aortoiliac obstruction. Leriche syndrome usually occurs in males and is characterized by impotence, absence of a pulse in the femoral arteries, weaknesses and numbness in the lower back, buttocks, hips, and lower limbs. Is more situations disease little known in Latin American, some cases is reported in Bolivia, Brazil, Argentina, Chile, Mexican countries and others, so we want to present a case in Hospital San José, Popayán, Colombia in emergency area and show the importance of suitable clinical examination about vascular disease for early diagnosis and appropriate treatment.

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“…The clinical syndrome of acute paraplegia is caused by traumatic spinal cord compression, ischemic spinal cord injury resulting from occlusion of the aorta or supplying arteries, or by spinal cord compression caused by a hematoma or empyema. Aortic occlusion has been known to occur among patients with heart and/or atherosclerotic aortoiliac disease [ 6 ]. AAO is a rare—most of the available literatures are case reports of nonsurgical patients—but catastrophic event with 75% mortality and 20–50% even after revascularization [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Acute Aortic Occlusion Presenting as Flaccid Paraplegia

Kilany

Al-Hashel

Rady

2015

Case Reports in Neurological Medicine

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A 67-year-old male known to be hypertensive and diabetic had a sudden onset of severe low back pain and flaccid paraplegia with no sensory level or bladder affection and the distal pulsations were felt. Acute compressive myelopathy was excluded by MRI of the dorsal and lumbar spines. The nerve conduction study and CSF analysis was suggestive of acute demyelinating polyneuropathy. The patient developed ischemic changes of the lower limb and CT angiography revealed severe stenosis of the abdominal aorta and both common iliac arteries. We emphasize the importance of including acute aortic occlusion in the differential diagnosis of acute flaccid paraplegia especially in the presence of severe back pain even if the distal pulsations were felt.

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Sudden onset of paraplegia from acute aortic occlusion: a review of 2 cases and their unique presentation

Cited by 13 publications

References 5 publications

An Unusual Case of Acute Thrombosis of Abdominal Aortic Aneurysm without Acute Limb Ischemia

An Unusual Case of Acute Thrombosis of Abdominal Aortic Aneurysm without Acute Limb Ischemia

Caso clínico de interés: síndrome de Leriche

Acute Aortic Occlusion Presenting as Flaccid Paraplegia

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