title: Bilateral ischemic lumbosacral plexopathy from chronic aortoiliac occlusion presenting with progressive paraplegia.
abstract: Spinal cord ischemia is rare but causes significant morbidity and mortality. Spinal cord ischemia has been reported after open and endovascular interventions of the thoracic and abdominal aorta, and, rarely, acute occlusion of aorta from in situ thrombosis or acute embolic occlusion. Acute interruption of the critical blood supply to the spinal cord or root contributes to this devastating neurologic deficit. However, gradually worsening lumbosacral plexopathy and consequent paraplegia related to chronic aortic occlusion is extremely rare. We present a case of a 58-year-old man with progressive lower limb paralysis from atherosclerotic aortoiliac occlusion without history of aortic surgery or evidence of thromboembolism.
authors.affiliation: Department of General Surgery, Chung-Ang University, College of Medicine, Seoul, Korea.
authors.forename: Hyangkyoung
authors.initials: H
authors.lastname: Kim
authors.affiliation: Department of Physical Medicine and Rehabilitation, Chung-Ang University, College of Medicine, Seoul, Korea. Electronic address: sihyun92@cau.ac.kr.
authors.forename: Si Hyun
authors.initials: SH
authors.lastname: Kang
authors.affiliation: Department of Physical Medicine and Rehabilitation, Chung-Ang University, College of Medicine, Seoul, Korea.
authors.forename: Don-Kyu
authors.initials: DK
authors.lastname: Kim
authors.affiliation: Department of Physical Medicine and Rehabilitation, Chung-Ang University, College of Medicine, Seoul, Korea.
authors.forename: Kyung Mook
authors.initials: KM
authors.lastname: Seo
authors.affiliation: Department of Physical Medicine and Rehabilitation, Chung-Ang University, College of Medicine, Seoul, Korea.
authors.forename: Tha Joo
authors.initials: TJ
authors.lastname: Kim
authors.affiliation: Department of Thoracic Cardiovascular Surgery, Chung-Ang University, College of Medicine, Seoul, Korea.
authors.forename: Joonhwa
authors.initials: J
authors.lastname: Hong
mesh_terms: D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D002908:Chronic Disease; D003097:Collateral Circulation; D003251:Constriction, Pathologic; D018450:Disease Progression; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D035002:Lower Extremity / Q000294:innervation*; D008160:Lumbosacral Plexus / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D020127:Recovery of Function; D012039:Regional Blood Flow; D020760:Spinal Cord Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome