TY - JOUR AR - RDI-2020-2-103 TI - Acute Aortic Occlusion with Acute Onset of Paraplegia and Severe Hyposthenia AU - Daniela , Viola AU - Fabio , Spinetti AU - Giuseppe , Mercogliano AU - Giuseppe , Sarti AU - Ines , Marano AU - MariaVittoria , Guerra AU - Marina , Lugarà AU - Stefania, Tamburrini AU - Valeria , Fiorini JO - Radiology and Medical Diagnostic Imaging PY - 2020 DA - Fri 15, May 2020 SN - 2613-7836 DO - http://dx.doi.org/10.31487/j.RDI.2020.02.03 UR - https://www.sciencerepository.org/acute-aortic-occlusion-with-acute-onset-of-paraplegia-and-severe-hyposthenia_RDI-2020-2-103 KW - Arterial occlusive disease, thrombosis, aortic occlusion, acute paraplegia, hyposthenia AB - 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.