[Thrombosis in the bifurcation of the abdominal aorta through the eyes of a neurologist].

We described a case of the malign course of the abdominal aorta bifurcation in a 75-year old woman with the case history of a successfully removed neurinom of the eleventh thoracic root on the left side. Despite a timely diagnosis with the recurrence of a spinal tumor being ruled out and followed by the streptokinase therapy, the course of the disease was lethal. Another six lethal cases of the thrombosis of the abdominal aorta studied retrospectively proved the necessity to improve both the diagnostics and the therapy of this disease. The possibilities of modern angiosurgery are, however, being put to very little use. In our opinion, it is better to use the term Lerich's syndrome to describe the chronic closure of the abdominal aorta bifurcation in men. In all other cases we recommend to use the descriptive term of the complete closure of the distal abdominal aorta. The complete thrombosis of the terminal abdominal aorta is not a very rare disease since it was found four times out of the total number of 4,746 dissections carried out in the period of five years (1986-1990). Reference is being made to the dissection materials of the 2nd Institute of Pathology and Anatomy of the 1st Medical Faculty of Charles University, Prague.