Paraparesis due to spinal cord infarction associated with acute aortic dissection

2014 ◽  
Vol 23 (9) ◽  
pp. 1137-1137
Author(s):  
Toshihiro Funatsu ◽  
Haruhiko Kondoh ◽  
Kazuhiro Taniguchi
Keyword(s):  
Spinal Cord ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Spinal Cord Infarction

scholarly journals Spinal Cord Infarction with Aortic Dissection

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Atsuyuki Kawabata ◽  
Masaki Tomori ◽  
Yoshiyasu Arai
Keyword(s):  
Spinal Cord ◽  
Back Pain ◽  
Aortic Dissection ◽  
Severe Pain ◽  
Clinical Course ◽  
Etiological Factor ◽  
Spinal Cord Infarction ◽  
Functional Scores

Spinal cord infarction is an uncommon but devastating disorder caused by various conditions. Aortic dissection is a possible etiological factor and is usually associated with severe chest or back pain. We encountered two cases of spinal cord infarction associated with aortic dissection that presented without typical severe pain, and each case resulted in a different clinical course. Aortic dissection should be considered a cause of spinal cord infarction even if there is little or no pain. The different outcomes in our two patients reflected a difference in their initial functional scores.

scholarly journals The risk of spinal cord injury during the frozen elephant trunk procedure in acute aortic dissection

2018 ◽  
Vol 26 (6) ◽  
pp. 972-976 ◽  
Author(s):  
Boris N Kozlov ◽  
Dmitri S Panfilov ◽  
Igor V Ponomarenko ◽  
Andrey G Miroshnichenko ◽  
Aleksandra A Nenakhova ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Cord Injury ◽  
Elephant Trunk Procedure

scholarly journals SPINAL CORD ISCHEMIA IN SURGICALLY TREATED ACUTE AORTIC DISSECTION: WHO'S AT RISK?

2011 ◽  
Vol 57 (14) ◽  
pp. E1523
Author(s):  
Anton Camaj ◽  
Santi Trimarchi ◽  
Daniel Montgomery ◽  
Elise Woznicki ◽  
Christoph A. Neinauber ◽  
...  
Keyword(s):  
Spinal Cord ◽  
At Risk ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Spinal Cord Ischemia

scholarly journals Association between false lumen segmental arteries and spinal cord ischemia in type A acute aortic dissection

2020 ◽  
Vol 61 (2) ◽  
Author(s):  
Hiroshi Kodama ◽  
Shinya Takahashi ◽  
Takanobu Okazaki ◽  
Shohei Morita ◽  
Seimei Go ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Spinal Cord Ischemia ◽  
False Lumen ◽  
Type A ◽  
Segmental Arteries

Paraplegia Following Type B Acute Aortic Dissection Can Spare the Spinal Cord

2021 ◽  
Vol 70 ◽  
pp. 569.e1-569.e4
Author(s):  
Marta Álvarez ◽  
Giuseppe Lucente ◽  
Lucia Martínez ◽  
Miriam Almendrote ◽  
Alba Ramos ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type B

scholarly journals Aortic Dissection Complicated by Paraplegia

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Ishika Prachee ◽  
Dominic Howard
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Mortality Rates ◽  
Endovascular Stenting ◽  
Post Intervention ◽  
Spinal Cord Ischaemia ◽  
Preventative Measures ◽  
Contemporary Management

This case report illustrates the complexity and severity of acute aortic dissection. This condition has one of the highest mortality rates of any cardiovascular emergency and is often extremely challenging to treat with both open and endovascular intervention often required. This patient presented with a ruptured aortic dissection which is rare and often immediately fatal. He survived urgent extensive aortic endovascular stenting, but, despite preventative measures, developed spinal cord ischaemia post-intervention. The contemporary management of acute aortic dissection, and the pathophysiology and prevention of spinal cord ischaemia are covered in this fantastic case report.

scholarly journals Chronic type B aortic dissection complicated by repetitive spinal cord ischaemia

2020 ◽  
Vol 31 (5) ◽  
pp. 745-747
Author(s):  
Masato Fujimoto ◽  
Hirohisa Murakami ◽  
Hiroshi Tanaka
Keyword(s):  
Spinal Cord ◽  
Aortic Dissection ◽  
False Lumen ◽  
Spinal Cord Infarction ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Chronic Type ◽  
Spinal Cord Ischaemia ◽  
The Right ◽  
Segmental Arteries

Abstract Chronic type B aortic dissection complicated by repetitive transient spinal cord ischaemia is rare. Reduced blood flow in the segmental arteries supplying the radicular arteries in the false lumen is the main cause of this pathology. Individual variations in spinal cord circulation are difficult to identify; therefore, the mechanisms of spinal cord ischaemia are poorly understood. We encountered a patient with chronic type B aortic dissection experiencing repetitive spinal cord ischaemia that finally led to spinal cord infarction. The patient recovered, except for mild monoparesis of the right leg. With the growth of the dissected aorta, we planned for surgical treatment to restore the blood supply in the spinal cord. The patient underwent thoraco-abdominal aortic repair using deep hypothermia, and favourable neurological results were achieved.

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