Acute Paraplegia as a Presentation of Aortic Saddle Embolism

نویسندگان

  • Lisandro Irizarry
  • Anton Wray
  • Kim Guishard
چکیده

Background. Acute onset paraplegia has a myriad of causes most often of a nonvascular origin. Vascular etiologies are infrequent causes and most often associated with postsurgical complications. Objective. To describe the occurrence and possible mechanism for aortic saddle embolism as a rare cause of acute paraplegia. Case Report. Described is a case of a 46-year-old female who presented with the sudden onset of nontraumatic low back pain with rapidly progressive paraplegia which was subsequently determined to be of vascular origin.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Double incontinence as a first symptom of saddle embolism of the aorta leads to sudden paraplegia.

An aortic saddle embolus causing cauda equine syndrome followed by paraplegia is an exceedingly rare phenomenon in post-operative period in coronary artery bypass grafting. In non-CABG cases, reported documentation of neurological recovery from this event is even rarer. A 57-year-old male 8 days after uneventful OPCAP presented with severe lower extremity pain and sudden fecal and urinary incon...

متن کامل

Acute aortic dissection presenting as painless paraplegia: a case report

BACKGROUND Acute aortic dissection is an extreme emergency that is generally manifested by violent chest pain irradiating to a patient's back and abdomen. Paraplegia due to spinal cord ischemia and infarction as a presenting manifestation of aortic dissection has been found in 2 to 5% of patients. However, painless paraplegia is exceedingly rare and limited to a few case reports in the literatu...

متن کامل

Painless dissections of the aorta presenting as acute neurologic syndromes.

We describe three patients who had painless dissections of the aorta which resulted in neurologic syndromes at the time of presentation. Two patients had acute hemimotor and sensory findings. In one of these cases progression to paraplegia occurred. In a third patient, acute weakness and ischemia of a leg occurred at presentation. We review previously described painless aortic dissections. Such...

متن کامل

Saddle embolism of the aorta with sudden paraplegia.

On March 5, 2002, a woman 85 years of age (body surface area, 1.5 m2) had a sudden episode of severe pain in both groins with radiation to the LX. Ten minutes later, she was affected by paraplegia. Her pulse and heart rate were rapid and irregular; abdominal tenderness precluded the exclusion of an abdominal aortic aneurysm. Both LX were bluish and cold. She lost her sensory and motor function ...

متن کامل

Chest Pain and Sudden-Onset Paraplegia at the Emergency Department: An Uncommon Presentation

BACKGROUND Coarctation of the aorta is characterized by narrowing of the descending aorta. The narrowing typically is at the isthmus, the segment just distal to the left subclavian artery. Adults with undiagnosed aortic coarctation are asymptomatic or may present with nonspecific hypertension. We present a case that highlights the uncommon complication of aortic coarctation with spinal compress...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 2016  شماره 

صفحات  -

تاریخ انتشار 2016