Acute aortic dissection with painless paraplegia: report of 2 cases.
ABSTRACT Acute aortic dissection is often a life-threatening event that usually presents as a sudden, severe, exquisitely painful, ripping sensation in the chest or back. There are a few reports of atypical findings or no pain in the literature. We report 2 patients with painless acute aortic dissection who presented to the emergency department (ED) with sudden onset paraplegia.
The spine journal: official journal of the North American Spine Society 07/2014; 14(11). DOI:10.1016/j.spinee.2014.06.027 · 2.80 Impact Factor
03/2012; 3(2). DOI:10.1007/s13341-012-0233-6
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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.Journal of Korean Neurosurgical Society 03/2014; 55(3):156-9. DOI:10.3340/jkns.2014.55.3.156 · 0.52 Impact Factor