[Syphilitic thoracic aortic aneurysm with destruction of vertebral body, producing numbness of lower extremities and paraplegia].
Numbness and paraplegia are uncommon complaints in patient with thoracic aortic aneurysm (TAA). The patient was a 64-year-old man. He suffered numbness and gait disturbance (paraplegia). The blood examination showed no positive findings except a Wassermann was positive. Roentgen examination of the chest showed two abnormal shadows like tumors. The CT and MRI revealed destruction of the vertebral bodies and TAAs adjacent to the spinal cord. After the graft replacement was performed, numbness and paraplegia disappeared. This suggests that in our patient the TAAs destruct the vertebral body and produce pressure on the spinal cord, causing numbness and paraplegia. We experienced a rare case of the syphilitic TAA producing bone destruction, numbness and paraplegia.
Miura
M
M
Second Department of Surgery, Yamagata University School of Medicine, Japan.
Kuraoka
S
S
Kanazawa
H
H
Oguma
F
F
Irisawa
H
H
Kasuya
S
S
Sakashita
I
I
D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000150:complications*; D013117:Spinal Cord Compression / Q000150:complications; D013122:Spinal Diseases / Q000150:complications; D013589:Syphilis, Cardiovascular / Q000209:etiology / Q000601:surgery*; D013904:Thoracic Vertebrae