Transient Ischemic Attacks of Spinal Cord due to Abdominal Aortic Aneurysm Thrombus

Ateş, İhsan; Kaplan, Mustafa; Özçalık, Merve Şenay; Yılmaz, Nisbet

doi:10.1016/j.avsg.2015.07.021

Cited by 4 publications

(1 citation statement)

References 10 publications

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“… 12 , 13 Compared with other aneurysms, such as popliteal aneurysms, thromboembolism causing lower extremity ischemia is relatively infrequent, reported in 2% to 5% of patients with AAA who undergo repair. 12 , 14 Although rare, AAA can also embolize to the lumbar arteries and present as spinal cord transient ischemic attacks, 15 paralysis, 16 or cauda equina syndrome. 17 The risks of thromboembolism, however, may not be correlated with aneurysm diameter.…”

Section: Thrombosis-associated Complications Of Aaamentioning

confidence: 99%

Thrombosis in the pathogenesis of abdominal aortic aneurysm

Bontekoe¹,

Matsumura²,

Liu³

2023

JVS-Vascular Science

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Section: Thrombosis-associated Complications Of Aaamentioning

confidence: 99%

Thrombosis in the pathogenesis of abdominal aortic aneurysm

Bontekoe¹,

Matsumura²,

Liu³

2023

JVS-Vascular Science

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Paraplegia of Lower Limbs Caused by a Segmental Thrombosis of the Descending Thoracic Aorta Reversed with Endovascular Treatment—A Case Report and Literature Review

Leiderman

Wolosker

Oliveira

et al. 2018

Annals of Vascular Surgery

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Spinal cord transient ischemic attack

et al. 2020

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ObjectiveTo define the prevalence and characteristics of spinal cord transient ischemic attack (sTIA) in a large retrospective series of patients who met diagnostic criteria for spontaneous spinal cord infarction (SCI).MethodsAn institution-based search tool was used to identify patients evaluated at the Mayo Clinic in Rochester, MN, from 1997 to 2017 with spontaneous SCI (n = 133). Cases were subsequently reviewed for transient myelopathic symptoms preceding infarction that were suspected ischemic in nature. We performed a descriptive analysis of patients with sTIA before SCI.ResultsOf 133 patients with a diagnosis of spontaneous SCI, we identified 4 patients (3%) who experienced sTIA before SCI. The median age at presentation was 61.5 years (range 46–75 years), 2 (50%) were women, and 3 (75%) had traditional vascular risk factors. Localization was cervical cord in 2 cases (50%) and thoracic cord in 2 cases (50%); all patients developed SCI in the same distribution as their preceding sTIA symptoms. All patients experienced recurrent sTIA before SCI. Symptoms ranged from seconds to a few minutes before returning to baseline. No patients had pain as a feature of sTIA.ConclusionssTIAs are possible but rare in patients who subsequently have a SCI. Clinical features are similar to those of SCI, with rapid onset of severe myelopathic deficits, followed by prompt resolution. Vascular risk factors are common in these patients. Thus, recognition of a sTIA may represent a valuable opportunity for vascular risk factor modification and stroke prevention. However, given the rarity, physicians should explore other possible explanations when sTIA is considered.

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Transient Ischemic Attacks of Spinal Cord due to Abdominal Aortic Aneurysm Thrombus

Cited by 4 publications

References 10 publications

Thrombosis in the pathogenesis of abdominal aortic aneurysm

Thrombosis in the pathogenesis of abdominal aortic aneurysm

Paraplegia of Lower Limbs Caused by a Segmental Thrombosis of the Descending Thoracic Aorta Reversed with Endovascular Treatment—A Case Report and Literature Review

Spinal cord transient ischemic attack

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