Iwata A, Takahashi Y, Ohgi K, Sakuta M
Department of Neurology, NTT Kanto Teishin Hospital.
Rinsho Shinkeigaku. 1997 May;37(5):413-6.
We report a 59-year-old male with abdominal aortic coarctation presented as paraplegia due to spinal hemorrhage caused by the rupture of abnormally dilated spinal artery. In coarctation of aorta, coarctation is usually located in the aortic isthmus which could be the cause of cervical and upper thoracic myelopathy. However, there has been no report of abdominal aortic coarctation with hemorrhagic transverse myelopathy. In this case hemorrhage occurred after surgical treatment and prescribed warfarin may have exaggerated the outcome.
我们报告一例59岁男性，患有腹主动脉缩窄，因异常扩张的脊髓动脉破裂导致脊髓出血而出现截瘫。在主动脉缩窄中，缩窄通常位于主动脉峡部，这可能是导致颈髓和上胸段脊髓病的原因。然而，尚无腹主动脉缩窄伴出血性横贯性脊髓病的报道。在该病例中，出血发生在手术治疗后，所开具的华法林可能使病情加重。
