Acute Infrarenal Aortic Thrombosis Presenting With Flaccid Paraplegia

Triantafyllopoulos, Georgios K.; Athanassacopoulos, Michael; Maltezos, Chrisostomos; Pneumaticos, Spiros G.

doi:10.1097/brs.0b013e3181fee67f

Cited by 15 publications

(21 citation statements)

References 15 publications

(7 reference statements)

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“…Flask paraplegia as a result of anterior spinal cord ischemia in the early period of acute aortic thrombosis will rarely be the first finding. It may cause the patients to not recognize the pain, one of the classical symptoms of arterial occlusion in patients, thus causing a delay in treatment [12]. Findings related to the dysfunction of affected organs can occur in chronic occlusion.…”

Section: Discussionmentioning

confidence: 99%

Leriche Syndrome in the Emergency Department: Two Case Reports

Yılmaz¹

2017

Ann Clin Anal Med

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ÖzetAortik bifürkasyonun oklüzyonu sonucu meydana gelen Leriche sendromu, cerrahi olarak tedavi edilen, ciddi morbidite ve mortaliteye neden olan nadir görülen periferik vasküler hastalıklardandır. Tek yada iki taraflı alt ekstremitede kladicasyo, femoral nabızların azalması yâda yokluğu ile karakterizedir. Alt ekstremitelerde ağrı ya da güçsüzlük şikâyeti olan hastalarda ayırıcı tanıda düşülmelidir. Anahtar KelimelerAcil Servis; Leriche Sendromu; Trombozis AbstractLeriche syndrome, resulting in occlusion of the aortic bifurcation, is a rarely seen peripheral vascular disease that is treated surgically and causes severe morbidity and mortality. It is characterized by claudication in one or both lower extremities and by absent or decreased femoral pulses. It should be considered in the differential diagnosis in patients with complaints of pain or weakness in the lower extremities.

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Section: Discussionmentioning

confidence: 99%

Leriche Syndrome in the Emergency Department: Two Case Reports

Yılmaz¹

2017

Ann Clin Anal Med

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“…Bu nedenle alt ekstremitede nörolojik defisit ile gelen olgularda mutlaka periferik nabızların muayenesi yapılmalı-dır. 6,7 Surowiec ve ark., retrospektif olarak inceledikleri akut aortik oklüzyon saptanan 33 olgunun 11'inde başlangıç semptomlarının motor ve duyusal defisit olduğunu gözlemişlerdir. 8 Akhaddar ve RESİM 1: Batın bilgisayarlı tomografi; jejunal anslarda; iskemi ile uyumlu yoğun gaz görüntüsü, abdominal aortada difüz aterosklerotik cidar kalsifikasyon görüntüsü.…”

Section: Discussionunclassified

Leriche's Syndrome Presenting with Acute Paraplegia: Case Report

Turan¹,

Ekinci²,

Kara³

et al. 2015

Turkiye Klinikleri J Case Rep

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“…Akut total oklüzyonda bu semptomlar ani ve şiddetli başlar, ciddi komplikasyonlar ile seyreder. Akut aortik trombozun erken döneminde meydana gelen anterior spinal kord iskemisine bağlı gevşek (flask) parapleji, arteryel oklüzyonun klasik semptomlarını örterek yanlış tanıya ve zaman kaybına neden olabilir (7). Bu nedenle alt ekstremitede nörolojik defisit ile gelen hastalarda mutlaka periferik nabazanların muayenesi yapılmalıdır (7).…”

Section: Discussionunclassified

Acute Abdominal Pain and Paraplegia in a Patient with Chronic Renal Disease: Leriche's Syndrome

Bayir¹,

Arziman²,

Kaldirim³

et al. 2013

JAEMCR

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Leriche's syndrome represents an arterial occlusion of the aortic bifurcation with ischaemic symptoms of both legs. A case of Leriche's syndrome as a complication of end stage renal failure has not yet been reported in the litarature. A 50-year-old woman was taken into the emergency service with severe abdominal and leg pain, loss of movement of both legs, and dyspnoea. On physical examination, there was abdominal tenderness, coldness and pallor of both legs, and pulselessness of the upper and lower extremities. No flow was seen in either femoral artery with superficial ultrasonography probe in the emergency department. Dynamic thorax and abdominal computed tomography was planned and total occlusion of the infrarenal level of the abdominal aorta was detected. Within the first hour of the diagnosis of acute thrombosis of the aorta bifurcation, bilateral femoral embolectomy was performed by the Cardiavascular Surgery Clinic. After 1 week, the paitent was discharged without any complication. Chronic renal disease patients, especially those referred to the emergency department with acute complaints, must be evaluated carefully and quickly, primarily for cardiovascular diseases. Principally, infrarenal aortic occlusion must be considered and femoral pulses must be examined in the differential diagnosis for patients presenting with paraplegia and severe pain.

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Acute Infrarenal Aortic Thrombosis Presenting With Flaccid Paraplegia

Abstract: Acute aortic occlusion is a catastrophic event and may present with paraplegia, because of acute spinal cord ischemia. This can mislead the clinician to a wrong diagnosis and delay initiation of definite treatment.

Cited by 15 publications

References 15 publications

Leriche Syndrome in the Emergency Department: Two Case Reports

Leriche Syndrome in the Emergency Department: Two Case Reports

Leriche's Syndrome Presenting with Acute Paraplegia: Case Report

Acute Abdominal Pain and Paraplegia in a Patient with Chronic Renal Disease: Leriche's Syndrome

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