Document Detail

Paraplegia with lumbar artery compression by the diaphragmatic crus.
MedLine Citation:
PMID:  18586436     Owner:  NLM     Status:  MEDLINE    
The authors report three cases of transient and recurrent paraplegia due to compression of the second right lumbar artery by the diaphragmatic crus. Circumstances of appearance are suggestive when paraplegia occurs in dorsolumbar hyperlordosis and low cardiac output is an associated hemodynamic risk factor. Selective medullary arteriography is indispensable for diagnosis and can demonstrate three signs: an anterior spinal dorsolumbar artery (artery of Adamkiewicz) that does not descend to the conus medullaris; posterior spinal arteries arising from the second lumbar arteries that vascularize the conus medullaris; existence of a tight stenosis on the second right lumbar artery that is aggravated during dynamic maneuvers. Section of the right diaphragmatic crus and release of the second right lumbar artery from the aorta to the fibrous arcade of the psoas permits definitive cure of symptoms.
Michel Batt; André Rogopoulos; Daniel Benchimol; René Chapot; Elixène Jean-Baptiste; Patrick Baque
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-06-30
Journal Detail:
Title:  Journal of vascular surgery     Volume:  48     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-11-10     Completed Date:  2008-12-04     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1017-21     Citation Subset:  IM    
Department of Vascular Surgery, Hôpital Saint-Roch, Université de Nice-Sophia Antipolis, Nice, France.
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MeSH Terms
Diaphragm* / anatomy & histology
Middle Aged
Paraplegia / etiology*
Spinal Cord Ischemia / complications*

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