Bilateral ischemic lumbosacral plexopathy from chronic aortoiliac occlusion presenting with progressive paraplegiaopen access
- Authors
- Kim, Hyangkyoung; Kang, Si Hyun; Kim, Don-Kyu; Seo, Kyung Mook; Kim, Tha Joo; Hong, Joonhwa
- Issue Date
- Jan-2014
- Publisher
- MOSBY-ELSEVIER
- Citation
- JOURNAL OF VASCULAR SURGERY, v.59, no.1, pp 241 - 243
- Pages
- 3
- Journal Title
- JOURNAL OF VASCULAR SURGERY
- Volume
- 59
- Number
- 1
- Start Page
- 241
- End Page
- 243
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/12624
- DOI
- 10.1016/j.jvs.2013.04.008
- ISSN
- 0741-5214
1097-6809
- Abstract
- Spinal cord ischemia is rare but causes significant morbidity and mortality. Spinal cord ischemia has been reported after open and endovascular interventions of the thoracic and abdominal aorta, and, rarely, acute occlusion of aorta from in situ thrombosis or acute embolic occlusion. Acute interruption of the critical blood supply to the spinal cord or root contributes to this devastating neurologic deficit. However, gradually worsening lumbosacral plexopathy and consequent paraplegia related to chronic aortic occlusion is extremely rare. We present a case of a 58-year-old man with progressive lower limb paralysis from atherosclerotic aortoiliac occlusion without history of aortic surgery or evidence of thromboembolism.
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