| Painless transient paraparesis as the solitary manifestation of aortic dissection. | |
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MedLine Citation:
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PMID: 21741795 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present a 62-year-old man with acute and temporary paraparesis of the lower extremities as the solitary symptom of an anterior spinal artery syndrome caused by a type B aortic dissection. Ischemia of the spinal cord was confirmed by magnetic resonance imaging. Neurologic symptoms resolved completely within 6 hours and conservative treatment was successful up to 8 months follow-up. Our report illustrates that painless, transient neurologic deficit can be the only presenting symptom of acute aortic dissection and that aortic dissection should be part of the differential diagnosis of acute paraparesis. |
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Authors:
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Laura van Zeggeren; Evert J Waasdorp; Bart H van de Worp; Susanne T Meijer; Frans L Moll; Gert J de Borst |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2011-07-13 |
Journal Detail:
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Title: Journal of vascular surgery Volume: 54 ISSN: 1097-6809 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-10-26 Completed Date: 2011-12-15 Revised Date: 2012-10-03 |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1481-4 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Aneurysm, Dissecting / complications*, diagnosis, therapy Anticoagulants / therapeutic use Antihypertensive Agents / therapeutic use Aortic Aneurysm / complications*, diagnosis, therapy Aortography / methods Humans Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use Lower Extremity / innervation* Magnetic Resonance Imaging Male Middle Aged Neurologic Examination Paraparesis / diagnosis, etiology*, physiopathology, therapy Spinal Cord Ischemia / diagnosis, etiology*, therapy Time Factors Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 0/Antihypertensive Agents; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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