Bilateral ischemic lumbosacral plexopathy from chronic aortoiliac occlusion presenting with progressive paraplegia

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 interrupt...

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Published inJournal of vascular surgery Vol. 59; no. 1; pp. 241 - 243
Main Authors Kim, Hyangkyoung, MD, PhD, Kang, Si Hyun, MD, PhD, Kim, Don-Kyu, MD, PhD, Seo, Kyung Mook, MD, PhD, Kim, Tha Joo, MD, Hong, Joonhwa, MD, PhD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 2014
Subjects
Aortic Diseases - complications
Aortic Diseases - diagnosis
Aortic Diseases - physiopathology
Aortic Diseases - surgery
Arterial Occlusive Diseases - complications
Arterial Occlusive Diseases - diagnosis
Arterial Occlusive Diseases - physiopathology
Arterial Occlusive Diseases - surgery
Blood Vessel Prosthesis Implantation
Chronic Disease
Collateral Circulation
Constriction, Pathologic
Disease Progression
Humans
Iliac Artery - diagnostic imaging
Iliac Artery - physiopathology
Iliac Artery - surgery
Lower Extremity - innervation
Lumbosacral Plexus - physiopathology
Male
Middle Aged
Paraplegia - diagnosis
Paraplegia - etiology
Paraplegia - physiopathology
Recovery of Function
Regional Blood Flow
Spinal Cord Ischemia - diagnosis
Spinal Cord Ischemia - etiology
Spinal Cord Ischemia - physiopathology
Surgery
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
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Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2013.04.008