Transient Paraplegia Caused by Acute Aortic Dissection : Case Report
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概要
- 論文の詳細を見る
A case of acute aortic dissection (AAD) presenting as sudden, transient paraplegia and severe back pain is reported. The patient was a 66-year-old male with a 10-year-history of hypertension. The pain characteristically migrated from the back to the neck and then returned to the back. He showed complete transverse myelopathy at the level of the 9th thoracic cord. Computed tomography disclosed internal displacement of aortic intimal calcifications, without abnormalities in the spinal canal, and myelography showed no spinal canal block or stenosis. Electrocardiography and chest x-ray indicated nonspecific changes of high amplitudes and mild cardiomegaly, respectively. Together, these findings suggested acute aortic dissection with spinal cord ischemia. The initial systolic blood pressure of 220 mmHg was lowered with medication, and the pain was controlled with morphine. He recovered fully and was discharged 80 days after the onset of symptoms, with no neurological deficits. AAD carries a very poor prognosis unless treated immediately. Therefore, it is very important to promptly differentiate this disorder from spinal vascular conditions that also produce back pain and paraparesis.
- 日本脳神経外科学会の論文
- 1990-01-15
著者
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MATSUDA Shigeru
Department of Cardiovascular Medicine, Juntendo University Urayasu Hospital
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UEMURA Kenichi
Department of Neurosurgery, Hamamatsu University School of Medicine
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Tomita Mamoru
Departments Of Neurosurgery Yaizu Municipal General Hospital
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TANAKA Tokutaro
Department of Neurosurgery, Hamamatsu University School of Medicine
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Kobayashi Ryo
Department Of Scientific And Engineering Simulation Graduate School Of Engineering Nagoya Institute
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Kobayashi Ryo
Department Of Applied Mathematics And Physics Faculty Of Engineering Kyoto University
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Kobayashi Ryo
Departments Of Surgery Yaizu Municipal General Hospital
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Matsuda Shigeru
Department Of Cardiovascular Medicine Juntendo University Urayasu Hospital
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Uemura Kenichi
Department Of Neurological Surgery Chiba Unibersity
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Matsuda Shigeru
Departments Of Cardiology Yaizu Municipal General Hospital
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SUGIURA Masashi
Departments of Neurosurgery, Yaizu Municipal General Hospital
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OHISHI Haruyuki
Departments of Neurosurgery, Yaizu Municipal General Hospital
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NAGASAKI Fumihiko
Departments of Cardiology, Yaizu Municipal General Hospital
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FUKAYA Tetsuaki
Departments of Radiology, Yaizu Municipal General Hospital
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Sugiura Masashi
Departments Of Neurosurgery Yaizu Municipal General Hospital
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Fukaya Tetsuaki
Departments Of Radiology Yaizu Municipal General Hospital
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Ohishi Haruyuki
Departments Of Neurosurgery Yaizu Municipal General Hospital
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Tanaka Tokutaro
Department Of Neurosurgery Hamamatsu University School Of Medicine
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Tanaka Tokutaro
Departments Of Neurosurgery Yaizu Municipal General Hospital
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Nagasaki Fumihiko
Department Of Cardiology Toranomon Hos.
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Nagasaki Fumihiko
Departments Of Cardiology Yaizu Municipal General Hospital
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TOMITA Mamoru
Department of Nutrition and Food Science, Ochanomizu University
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