Paraplegia caused by coarctation of the aorta and hydrocephalus

Chadduck, William M.; Cathey, Steven L.; Gearhart, Anne T.; Cavin, Lillian; Glasier, Charles M.

doi:10.1007/bf00270849

Cited by 5 publications

(1 citation statement)

References 4 publications

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“…[389] However, all these complications have been described within the age window of first to third decades, unlike the present patient where the presentation was delayed to the late sixth decade. [1011] From an imaging perspective, on one hand, this case emphasizes the importance of thorough evaluation of the vascular system in all cases of spinal epidural hematomas, while on other hand it warns one to be wary of making a blind diagnosis of spinal arteriovenous malformations without such investigation.…”

Section: Discussionmentioning

confidence: 98%

Myelopathy in adult aortic coarctation: Causes and caveats of an atypical presentation

Mourya

Verma

Bansal

et al. 2016

Indian Journal of Radiology and Imaging

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A 57-year-old female presenting with acute-onset paraplegia was referred for magnetic resonance imaging (MRI) of cervico-dorsal spine. On MRI, multiple tortuous dilated vessels were noted in the epidural space with long segment cord compression and imaging features of compressive myelopathy. Associated small acute cervico-dorsal epidural hematoma was also noted in the same region. Computed tomography (CT) angiography was performed subsequently which revealed post-ductal coarctation of aorta with multiple arterial collaterals in the chest wall and spinal canal. An extensive review of English language literature pertaining to the clinical presentations of adult aortic coarctation revealed only few reports of acute compressive myelopathy due to spinal epidural collateral vessels. Further, presentation at such a late age has not been reported before. In the present case, apart from a hypertrophied anterior spinal artery and perispinal collaterals, an anterior epidural hematoma was an additional important factor in the causation of myelopathy.

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Section: Discussionmentioning

confidence: 98%