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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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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. |
format | Online Article Text |
id | pubmed-4377368 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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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