One case of acute type B aortic dissection presented with paraparesis and retrosternal chest pain was treated conservatively with warfarin and blood pressure control with good recovery of symptoms. A literature review including 25 cases of aortic dissection presented with paraparesis/paraplegia from year 1980 to 2010 is also presented.
KungS.W., NgW.S., NgM.H.Aortic dissection in an accident and emergency department in Hong Kong. Hong Kong Med J2007; 13(2): 122–30.
3.
DeBakeyM.E., McCollumC.H., CrawfordE.S., MorrisG.C.Jr, HowellJ., NoonG.P.Dissection and dissecting aneurysms of the aorta: twenty-year follow-up of five hundred twenty-seven patients treated surgically. Surgery1982; 92(6): 1118–34.
4.
RussellR.C.G., WilliamsN.S., BulstrodeC.J.K.Bailey & Love's Short Practice of Surgery. 24th Edition. London: Arnold; 2004.
5.
AltuwaijriM., DelisK.T., VrtiskaT., FulghamJ.R., GloviczkiP.Aortic fenestration for chronic aortic dissection type B complicated by transient ischemic attacks of spinal cord. J Vasc Surg2006; 44(1): 186–93.
6.
KiefferE., FukuiS., ChirasJ., KoskasF., BahniniA., CormierE.Preoperative spinal cord arteriography in aneurysmal disease of the descending thoracic and thoracoabdominal aorta: preliminary results in 45 patients. Ann Vasc Surg1989; 3(1): 34–46.
7.
BlackerD.J., WijdicksE.F., RamkrishnaG.Resolution of severe paraplegia due to aortic dissection after CSF drainage. Neurology2003; 61(1): 142–3.
8.
WaltimoO., KarliP.Aortic dissection and paraparesis. Eur Neurol1980; 19(4): 254–7.
9.
ZullD.N., CydulkaR.Acute paraplegia: a presenting manifestation of aortic dissection. Am J Med1988; 84(4): 765–70.
10.
RosenS.A.Painless aortic dissection presenting as spinal cord ischaemia. Ann Emerg Med1988; 17(8): 840–2.
11.
TanakaT., UemuraK., SugiuraM., OhishiH., TomitaM., NagasakiF.Transient paraplegia caused by acute aortic dissection- case report. Neurol Med Chir (Tokyio)1990; 30(1): 54–8.
12.
HollowayS.F., FayadP.B., KalbR.G., GuarnacciaJ.B., WaxmanS.G.Painless aortic dissection presenting as a progressive myelopathy. J Neurol Sci1993; 120(2): 141–4.
13.
KrishnamurthyP., ChandrasekaranK., Rodriguez VegaJ.R., GrunewaldK.Acute thoracic aortic occlusion resulting from complex aortic dissection and presenting as paraplegia. J Thorac Imaging1994; 9(2): 101–4.
14.
KellettM.W., YoungG.R., FletcherN.A.Paraparesis due to syphilitic aortic dissection. Neurology1997; 48(1): 221–3.
15.
DonovanE.M., SeidelG.K., CohenA.Painless aortic dissection presenting as high paraplegia: a case report. Arch Phys Med Rehabil2000; 81(10): 1436–8.
JooJ.B., CummingsA.J.Acute thoracoabdominal aortic dissection presenting as painless, transient paralysis of the lower extremities: a case report. J Emerg Med2000; 19(4): 333–7.
18.
KillenD.A., WeinsteinC.L., ReedW.A.Reversal of spinal cord ischaemia resulting from aortic dissection. J Thorac Cardiovasc Surg2000; 119(5): 1049–52.
19.
SyedM.A., FiadT.M.Transient paraplegia as a presenting feature of aortic dissection in a young man. Emerg Med J2002; 19(2): 174–5.
20.
HsuY.C., LinC.C.Paraparesis as the major initial presentation of aortic dissection: report of 4 cases. Acta Neurol Taiwan2004; 13(4): 192–7.
21.
ChiangJ.K., TsaiK.W., LinC.W., ShenT.C., HuS.C., ChenC.Y.Acute paraplegia as the presentation of aortic dissection - a case report. Tzu Chi Med J2005; 17(5): 369–71.
22.
AktasC., CinarO., AyD., GürsesB., HasmanogluH.Acute aortic dissection with painless paraplegia: report of 2 cases. Am J Emerg Med2008; 26(5): 631.e3–5.
23.
KaracostasD., AnthomelidesG., IoannidesP., PsaroulisK., PsaroulisD.Acute paraplegia in painless aortic dissection. Rich imaging with poor outcome. Spinal Cord2010; 48(1): 87–9.