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Ischemic Cauda equina Syndrome Due to Spinal Embolization as a First Manifestation of an Infrarenal Abdominal Aortic Aneurysm

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DOI: 10.4236/wjcs.2015.56010    4,090 Downloads   4,749 Views Citations

ABSTRACT

Spinal cord ischemia is an uncommon complication of an abdominal aortic aneurysm (AAA). We report the case of a 59-year-old man admitted for an acute ischemic Cauda equina syndrome secondary to a spinal cord embolization from an unknown partially thrombosed aortic aneurysm. The patient being at risk of further embolization, we achieved an emergency EVAR. The vascular post-operative course was uneventful. Neurologically, a post operative lumbar medullar MRI confirmed an ischemic Cauda equina syndrome and six months after the surgery, the patient still had a motor and sensory deficit in both lower limbs.

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Zrihni, Y. , Kukkonen, T. , Thaveau, F. , Girsowicz, E. , Georg, Y. and Chakfe, N. (2015) Ischemic Cauda equina Syndrome Due to Spinal Embolization as a First Manifestation of an Infrarenal Abdominal Aortic Aneurysm. World Journal of Cardiovascular Surgery, 5, 58-62. doi: 10.4236/wjcs.2015.56010.

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