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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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/713489 |
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| author | Ayman Kilany Jasem Y. Al-Hashel Azza Rady |
| author_facet | Ayman Kilany Jasem Y. Al-Hashel Azza Rady |
| author_sort | Ayman Kilany |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-f1615d18be4f4db98b44edc8e33fe96c |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-f1615d18be4f4db98b44edc8e33fe96c2025-02-03T01:31:14ZengWileyCase Reports in Neurological Medicine2090-66682090-66762015-01-01201510.1155/2015/713489713489Acute Aortic Occlusion Presenting as Flaccid ParaplegiaAyman Kilany0Jasem Y. Al-Hashel1Azza Rady2Department of Neurology, Ibn Sina Hospital, P.O. Box 25427, Safat, 13115 Kuwait City, KuwaitDepartment of Neurology, Ibn Sina Hospital, P.O. Box 25427, Safat, 13115 Kuwait City, KuwaitDepartment of Neurology, Ibn Sina Hospital, P.O. Box 25427, Safat, 13115 Kuwait City, KuwaitA 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.http://dx.doi.org/10.1155/2015/713489 |
| spellingShingle | Ayman Kilany Jasem Y. Al-Hashel Azza Rady Acute Aortic Occlusion Presenting as Flaccid Paraplegia Case Reports in Neurological Medicine |
| 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 |
| url | http://dx.doi.org/10.1155/2015/713489 |
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