Open AccessParaplegic Neurodeficit Management Post Endovascular Graft: A Rare Case of Aortic Dissection
Author(s) -
Vilas Yadavarao Kanse,
Dhanaraj Singh Chongtham,
S C Nemichandra,
Kenny Singh Salam
Publication year - 2013
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2013/6668.3501
Subject(s) - paraplegia , medicine , aortic dissection , surgery , dissection (medical) , aorta , back pain , chest pain , radiology , spinal cord , alternative medicine , pathology , psychiatry
Acute aortic dissection is a catastrophic episode that usually presents as a sudden, painful, ripping sensation in the chest or back. It is associated with neurologic sequelae in as many as one-third of patients. We report a case of aortic dissection, presenting as acute paraplegia. A 50-year-old patient presented to us with chief complaints of paraplegia and back pain. On examination, strength was 5/5 in both upper extremities and 0/5 in both lower extremities. Deep tendon reflexes were absent in her legs. CT angiogram of aorta Aortic Dissection Stanford type B / De-Bakey type -III. Patient was treated with endovascular graft for aortic dissection, paraplegia recovered completely.