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 in | Journal of vascular surgery Vol. 59; no. 1; pp. 241 - 243 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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United States
Elsevier Inc
2014
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| 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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| AbstractList | 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. |
| Author | Kim, Tha Joo, MD Kang, Si Hyun, MD, PhD Seo, Kyung Mook, MD, PhD Hong, Joonhwa, MD, PhD Kim, Hyangkyoung, MD, PhD Kim, Don-Kyu, MD, PhD |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23726871$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/0002-9610(91)90174-C 10.1016/j.jvs.2011.04.056 10.1308/147870807X188470 10.1007/s11940-012-0190-9 10.1016/S0733-8619(18)30267-6 10.1038/sc.1991.9 10.1016/j.ejvs.2009.11.026 10.1016/0741-5214(86)90072-8 10.1111/j.1742-6723.2010.01310.x 10.1007/BF02102243 10.1016/0002-8703(48)90114-8 10.1510/icvts.2007.151993 |
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experimental and clinical studies on the role of the vasa nervorum publication-title: Am Heart J doi: 10.1016/0002-8703(48)90114-8 contributor: fullname: Roberts – volume: 6 start-page: 501 year: 2007 ident: 10.1016/j.jvs.2013.04.008_bib8 article-title: Lower limb paralysis from ischemic neuropathy of the lumbosacral plexus following aortoiliac procedures publication-title: Interact Cardiovasc Thorac Surg doi: 10.1510/icvts.2007.151993 contributor: fullname: Abdellaoui |
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| SubjectTerms | 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 |
| Title | Bilateral ischemic lumbosacral plexopathy from chronic aortoiliac occlusion presenting with progressive paraplegia |
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