Acute Aortic Occlusion Presenting as Flaccid Paraplegia. (11th March 2015)

• Record Type: Journal Article
• Authors: Kilany, Ayman; Al-Hashel, Jasem Y.; Rady, Azza
• Other Names: González-Gutiérrez José Luis Academic Editor.
• Is Part Of: Case reports in neurological medicine. Volume 2015(2015)
• Publication Date: 2015-03-11
• Subjects: Neurology -- Periodicals; Nervous system -- Diseases -- Periodicals; Neurology; Nervous System Diseases; Nervous system -- Diseases; Neurology; Electronic journals; Periodicals; Periodicals; 616.8
• DOI: 10.1155/2015/713489
• Languages: English
• ISSNs: 2090-6676

Abstract

Abstract : 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.