title: Paraplegic neurodeficit management post endovascular graft: a rare case of aortic dissection.
abstract: 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.
authors.affiliation: Post Graduate Student, Department of Medicine, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Vilas Yadavarao
authors.initials: VY
authors.lastname: Kanse
authors.forename: Dhanaraj Singh
authors.initials: DS
authors.lastname: Chongtham
authors.forename: S C
authors.initials: SC
authors.lastname: Nemichandra
authors.forename: Kenny Singh
authors.initials: KS
authors.lastname: Salam
keywords: Aortic dissection; Endovascular grafting; Paraplegia; Recovery