TITLE:
Ischemic Cauda equina Syndrome Due to Spinal Embolization as a First Manifestation of an Infrarenal Abdominal Aortic Aneurysm
AUTHORS:
Youssef Zrihni, Tiia Kukkonen, Fabien Thaveau, Elie Girsowicz, Yannick Georg, Nabil Chakfe
KEYWORDS:
Cauda equina Syndrome, Aortic Aneurysm, Endovascular Repair
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.5 No.6,
June
29,
2015
ABSTRACT: Spinal cord ischemia is an uncommon complication of an abdominal aortic aneurysm (AAA). We report the case of a 59-year-old man admitted for an acute ischemic Cauda equina syndrome secondary to a spinal cord embolization from an unknown partially thrombosed aortic aneurysm. The patient being at risk of further embolization, we achieved an emergency EVAR. The vascular post-operative course was uneventful. Neurologically, a post operative lumbar medullar MRI confirmed an ischemic Cauda equina syndrome and six months after the surgery, the patient still had a motor and sensory deficit in both lower limbs.