Acute Aortic Occlusion with Acute Onset of Paraplegia and Severe Hyposthenia

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Author Info

Daniela Viola Fabio Spinetti Giuseppe Mercogliano Giuseppe Sarti Ines Marano MariaVittoria Guerra Marina Lugarà Stefania Tamburrini Valeria Fiorini

Corresponding Author

Stefania Tamburrini
Department of Radiology, Ospedale del Mare, ASL NA1 Centro, Naples, Italy

A B S T R A C T

A 75-years-old man presented at our ED with acute onset of paraplegia and severe bilateral lower limb hyposthenia. The patient ‘s neurological assessment was negative except for lower limbs positive Mingazzini test. CT angiography detected a complete lack of opacification of the abdominal aorta immediately below the emergency of the inferior mesenteric artery, caused by a coarse thrombus in the left ventricle. We present a case of acute aortic and lumbar arteries thrombosis with paraplegia and no clear symptoms of acute limb ischemia, in which the motor deficit in the lower extremities was explained by anterior spinal cord syndrome secondary to acute occlusion of lumbar arteries.

Article Info

Article Type

Case Report

Publication history

Received: Wed 29, Apr 2020
Accepted: Wed 13, May 2020
Published: Fri 15, May 2020

Copyright

© 2023 Stefania Tamburrini. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.RDI.2020.02.03