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Acute paraplegia as a presentation of acute aortic occlusion

Acute aortic occlusion is a rare life-threatening event. We present a case of a heavy smoking, 54-year-old man who was admitted in the emergency room with sudden paraplegia, associated to severe lower back and lower limbs pain. A neurologic examination showed paralysis of the lower limbs and cold lo...

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Detalles Bibliográficos
Autores principales: Costa, Ana F., Almeida, Fábio, Faria, Sara, Pastor, Ana, Costa, Teresa, Alfaiate, Teresa, Pereira, Amélia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7770448/
https://www.ncbi.nlm.nih.gov/pubmed/33384750
http://dx.doi.org/10.1016/j.radcr.2020.12.036
Descripción
Sumario:Acute aortic occlusion is a rare life-threatening event. We present a case of a heavy smoking, 54-year-old man who was admitted in the emergency room with sudden paraplegia, associated to severe lower back and lower limbs pain. A neurologic examination showed paralysis of the lower limbs and cold lower extremities. The pedal and femoral pulses were absent. A computed tomography revealed occlusion of the mesenteric superior artery, abdominal aorta, and both iliac arteries. Despite medical treatment, the patient died before evaluation of vascular surgery. Paraplegia is a rare presentation of acute aortic occlusion and clinicians should be alert to make an early intervention.