article = {RDI-2020-2-103} title = {Acute Aortic Occlusion with Acute Onset of Paraplegia and Severe Hyposthenia} journal = {Radiology and Medical Diagnostic Imaging} year = {2020} issn = {2613-7836} doi = {http://dx.doi.org/10.31487/j.RDI.2020.02.03} url = {https://www.sciencerepository.org/acute-aortic-occlusion-with-acute-onset-of-paraplegia-and-severe-hyposthenia_RDI-2020-2-103 author = {Daniela Viola,Fabio Spinetti,Giuseppe Mercogliano,Giuseppe Sarti,Ines Marano,MariaVittoria Guerra,Marina Lugarà,Stefania Tamburrini,Valeria Fiorini,} keywords = {Arterial occlusive disease, thrombosis, aortic occlusion, acute paraplegia, hyposthenia} abstract ={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.}