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Related Concept Videos

Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Related Experiment Video

Updated: May 21, 2026

Reproducable Paraplegia by Thoracic Aortic Occlusion in a Murine Model of Spinal Cord Ischemia-reperfusion
05:59

Reproducable Paraplegia by Thoracic Aortic Occlusion in a Murine Model of Spinal Cord Ischemia-reperfusion

Published on: March 3, 2014

Painless aortic dissection presenting as paraplegia.

Necmettin Colak1, Yunus Nazli, Mehmet Fatih Alpay

  • 1Department of Cardiovascular Surgery, School of Medicine, Fatih University, 06510 Ankara, Turkey. ncolak06@yahoo.com

Texas Heart Institute Journal
|June 29, 2012
PubMed
Summary

Sudden paraplegia and leg ischemia can signal rare aortic dissection. Prompt diagnosis and surgical repair of acute aortic dissection are crucial for preventing severe outcomes.

Keywords:
Aneurysm, dissecting/complications/diagnosis/surgeryaortic aneurysm/complications/diagnosis/surgerydiagnosis, differentialextremities/blood supplyischemia/complicationspain/physiopathologyparaplegia/etiology/physiopathologyspinal cord ischemia/etiology/surgerytreatment outcome

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Area of Science:

  • Cardiovascular Surgery
  • Neurology
  • Vascular Surgery

Background:

  • Acute aortic dissection is a life-threatening condition.
  • Neurologic complications, including paraplegia, are uncommon presentations of aortic dissection.

Observation:

  • A 51-year-old male with a history of coronary artery bypass grafting presented with sudden paraplegia and leg ischemia, notably absent chest or back pain.
  • Physical examination revealed pulseless lower extremities, and computed tomography confirmed extensive aortic dissection.
  • The patient underwent cerebrospinal fluid drainage and cardiopulmonary bypass for aortic dissection repair and coronary graft reattachment.

Findings:

  • Surgical intervention successfully restored spinal and lower-extremity perfusion.
  • The patient recovered significantly, walking unaided upon discharge.

Implications:

  • Acute aortic dissection should be considered in patients presenting with sudden paraplegia and pulseless lower extremities, even without chest or back pain.
  • Early diagnosis and intervention are critical for improving outcomes and preventing mortality in cases of aortic dissection with neurologic compromise.