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10.12659/AJCR.903503

http://scihub22266oqcxt.onion/10.12659/AJCR.903503
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C5499626!5499626!28659571
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suck abstract from ncbi


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pmid28659571      Am+J+Case+Rep 2017 ; 18 (ä): 728-32
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  • Chest Pain and Sudden-Onset Paraplegia at the Emergency Department: An Uncommon Presentation #MMPMID28659571
  • Chiu FH; Tsai SH; Ho CH
  • Am J Case Rep 2017[]; 18 (ä): 728-32 PMID28659571show ga
  • Patient: Male, 45Final Diagnosis: Acute coarctation with spinal epidural hemorrhageSymptoms: Chest pain with bilateral lower limbs pareplegiaMedication: ?Clinical Procedure: Percutaneous transluminal angioplasty and thoracic endovascular repair followed by bilateral hemilaminectomySpecialty: SurgeryObjective:: Rare disease Background:: Coarctation of the aorta is characterized by narrowing of the descending aorta. The narrowing typically is at the isthmus, the segment just distal to the left subclavian artery. Adults with undiagnosed aortic coarctation are asymptomatic or may present with nonspecific hypertension. We present a case that highlights the uncommon complication of aortic coarctation with spinal compression syndrome. Case Report:: A 45-year-old male presented to the emergency department (ED) with acute-onset chest pain; he experienced urinary incontinence and bilateral lower limb weakness during his ED visit. Chest CT showed coarctation of the aorta and MRI of the spine showed an epidural nodular lesion. He received emergency aortic stent placement surgery, followed by successful hematoma removal and was discharged with residual lower-extremity paraplegia. Conclusions:: Chest pain with lower limb paraplegia presentation should consider aortic coarctation complicated with spinal hemorrhage as a possible cause.
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