Paraplegia due to Acute Aortic Coarctation and Occlusion.
10.3340/jkns.2014.55.3.156
- Author:
Chang Bum PARK
1
;
Dae Jean JO
;
Min Ki KIM
;
Sang Hyun KIM
Author Information
1. Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Paraplegia;
Aortic coarctation;
Aortic occlusion;
Spinal cord ischemia
- MeSH:
Aorta;
Aortic Coarctation*;
Congenital Abnormalities;
Diagnostic Errors;
Heart Failure;
Humans;
Hypertension;
Ischemia;
Male;
Paraplegia*;
Spinal Cord;
Spinal Cord Diseases;
Spinal Cord Ischemia;
Subarachnoid Hemorrhage
- From:Journal of Korean Neurosurgical Society
2014;55(3):156-159
- CountryRepublic of Korea
- Language:English
-
Abstract:
Coarctation and occlusion of the aorta is a rare condition that typically presents with hypertension or cardiac failure. However, neuropathy or myelopathy may be the presenting features of the condition when an intraspinal subarachnoid hemorrhage has compressed the spinal cord causing ischemia. We report two cases of middle-aged males who developed acute non-traumatic paraplegia. Undiagnosed congenital abnormalities, such as aortic coarctation and occlusion, should be considered for patients presenting with nontraumatic paraplegia in the absence of other identifiable causes. Our cases suggest that spinal cord ischemia resulting from acute spinal subarachnoid hemorrhage and can cause paraplegia, and that clinicians must carefully examine patients presenting with nontraumatic paraplegia because misdiagnosis can delay initiation of the appropriate treatment.
