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