Type A Aortic Dissection Presenting with Isolated Paraplegia
AbstractAcute type A thoracic aortic dissections most commonly present with sudden onset of severe chest and/or back pain. We summarize the case of a patient with an acute type A dissection who presented with acute, painless paraplegia caused by malperfusion of the artery of Adamkiewicz. Although an uncommon cause of acute paraplegia, type A dissections should be included in the differential diagnosis.
Aktas C, Cinar O, Ay D, Gürses B, Hasmanoglu H. 2008. Acute aortic dissection with painless paraplegia: report of 2 cases. Am J Emerg Med 26:631.e3-5.nCollins JS, Evangelista A, Nienaber CA, et al. 2004. Differences in clinical presentation, management, and outcomes of acute type A aortic dissection in patients with and without previous cardiac surgery. Circulation 110: II237-42.nRaghupathy A, Nienaber CA, Harris KM, et al. 2008. Geographical differences in clinical presentation, treatment, and outcomes in type A acute aortic dissection (from the International Registry of Acute Aortic Dissection). Am J Cardiol 102:1562-6.nZull DN, Cydulka R. 1988. Acute paraplegia: a presenting manifestation of aortic dissection. Am J Med 84:765-70.n