Related Experiment Video
Updated: May 13, 2026

05:59
Reproducable Paraplegia by Thoracic Aortic Occlusion in a Murine Model of Spinal Cord Ischemia-reperfusion
Published on: March 3, 2014
12.0K
Aortic angiosarcoma leading to paraplegia: a case report.
1Department of Traditional Chinese Medicine, Zibo Central Hospital, Zibo, Shandong, China.
Frontiers in Cardiovascular Medicine
|May 14, 2025
Summary
Aortic angiosarcoma, a rare cancer, can cause embolic events. This case highlights a unique instance of spinal cord embolism, emphasizing the need to consider rare embolic sites.
Area of Science:
- Vascular Oncology
- Rare Cancers
- Embolic Phenomena
Background:
- Aortic angiosarcoma is a rare malignancy with diverse clinical presentations.
- Common initial symptoms include embolic events (limb, visceral, cerebral) or renovascular hypertension.
Observation:
- A 76-year-old female presented with a left hip soft tissue mass involving the sacrum and iliac bone.
- Aortic computed tomography angiography (CTA) revealed filling defects in the aortic arch and descending aorta, indicative of tumor.
Findings:
- Biopsy confirmed angiosarcoma; immunohistochemistry was positive for Vimentin, CD31, and ERG.
- The patient was diagnosed with aortic angiosarcoma with left hip metastasis.
- She developed paraplegia and lower limb arterial embolism, leading to a rapid decline.
Implications:
- This case underscores the potential for aortic angiosarcoma to cause rare embolic events, such as spinal cord embolism.
- Clinicians should consider both common and rare embolic sites in patients with aortic angiosarcoma.
- Early recognition and monitoring of embolic phenomena are crucial for patient management.
Related Concept Videos
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...
Secondary Spinal Cord Injury llI: Pathophysiology
Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...

