Department of General Surgery, Chung-Ang University, College of Medicine, Seoul, Korea.
Department of Physical Medicine and Rehabilitation, Chung-Ang University, College of Medicine, Seoul, Korea.
J Vasc Surg. 2014 Jan;59(1):241-3. doi: 10.1016/j.jvs.2013.04.008. Epub 2013 May 31.
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.
脊髓缺血罕见，但可导致严重的发病率和死亡率。脊髓缺血已报道发生于胸、腹主动脉的开放和血管内介入治疗后，而且罕见地发生于原位血栓形成或急性栓塞性闭塞导致的急性主动脉闭塞后。脊髓或神经根的关键血液供应的急性中断导致这种破坏性的神经功能缺损。然而，逐渐加重的腰骶丛神经病和随之而来的与慢性主动脉闭塞相关的截瘫极其罕见。我们报告了一例 58 岁男性病例，他因动脉粥样硬化性主髂动脉闭塞而出现进行性下肢瘫痪，无主动脉手术史或血栓栓塞证据。
