TY - JOUR
TI - Acute Infrarenal Aortic Thrombosis Presenting With Flaccid Paraplegia
AU - Triantafyllopoulos, Georgios K.
AU - Athanassacopoulos, Michael and
AU - Maltezos, Chrysostomos
AU - Pneumaticos, Spyridon G.
JO - Spine Deformity
PY - 2011
VL - 36
TODO - 15
SP - E1042-E1045
PB - Lippincott, Williams & Wilkins
SN - 2212-134X
TODO - 10.1097/BRS.0b013e3181fee67f
TODO - anterior spinal artery; aortic thrombosis; artery of Adamkiewicz;
paraplegia; spinal cord ischemia
TODO - Study Design. This study is a case report.
Objective. To report a case of a patient with paraplegia and low back
pain, who was diagnosed with acute infrarenal aortic thrombosis.
Summary of Background Data. There have been few reports in the
literature regarding acute aortic thrombosis presenting with paraplegia.
Methods. A 56-year-old man was referred to our emergency department with
flaccid paraplegia and low back pain. Clinical examination and imaging
revealed acute infrarenal aortic thrombosis, with lower limb ischemia.
The patient underwent transcutaneous embolectomy.
Results. Despite successful revascularization, the patient finally died
because of development of revascularization syndrome.
Conclusion. Acute aortic occlusion is a catastrophic event and may
present with paraplegia, because of acute spinal cord ischemia. This can
mislead the clinician to a wrong diagnosis and delay initiation of
definite treatment.
ER -