Acute Aortic Occlusion Presenting as Flaccid Paraplegia

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 condu...

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Autores principales: Kilany, Ayman, Al-Hashel, Jasem Y., Rady, Azza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377368/
https://www.ncbi.nlm.nih.gov/pubmed/25866688
http://dx.doi.org/10.1155/2015/713489
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author Kilany, Ayman
Al-Hashel, Jasem Y.
Rady, Azza
author_facet Kilany, Ayman
Al-Hashel, Jasem Y.
Rady, Azza
author_sort Kilany, Ayman
collection PubMed
description 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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spelling pubmed-43773682015-04-12 Acute Aortic Occlusion Presenting as Flaccid Paraplegia Kilany, Ayman Al-Hashel, Jasem Y. Rady, Azza Case Rep Neurol Med Case Report 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. Hindawi Publishing Corporation 2015 2015-03-11 /pmc/articles/PMC4377368/ /pubmed/25866688 http://dx.doi.org/10.1155/2015/713489 Text en Copyright © 2015 Ayman Kilany et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kilany, Ayman
Al-Hashel, Jasem Y.
Rady, Azza
Acute Aortic Occlusion Presenting as Flaccid Paraplegia
title Acute Aortic Occlusion Presenting as Flaccid Paraplegia
title_full Acute Aortic Occlusion Presenting as Flaccid Paraplegia
title_fullStr Acute Aortic Occlusion Presenting as Flaccid Paraplegia
title_full_unstemmed Acute Aortic Occlusion Presenting as Flaccid Paraplegia
title_short Acute Aortic Occlusion Presenting as Flaccid Paraplegia
title_sort acute aortic occlusion presenting as flaccid paraplegia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377368/
https://www.ncbi.nlm.nih.gov/pubmed/25866688
http://dx.doi.org/10.1155/2015/713489
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