Paraparesis due to syphilitic aortic dissection.
A patient is presented who developed an acute spinal cord infarct with paraparesis and segmental pain but no sensory or sphincter involvement. Investigations revealed an extensive dissecting thoracic aortic aneurysm and positive treponemal serologic findings consistent with tertiary cardiovascular syphilis.
Kellett
M W
MW
Walton Centre, Liverpool, England.
Young
G R
GR
Fletcher
N A
NA
D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008297:Male; D010264:Paraplegia / Q000209:etiology*; D013902:Radiography, Thoracic; D013116:Spinal Cord / Q000098:blood supply; D013587:Syphilis; D013589:Syphilis, Cardiovascular / Q000150:complications*; D014057:Tomography, X-Ray Computed