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Atherosclerotic Aortic Aneurysm:An Unusual Cause of Spastic Paraparesis


Affiliations
1 Society of Neuro-Vascular Intervention, Mumbai, India
2 Society of Neuro-Vascular Intervention, Pune, India
3 Department of Neurology, Bangur Institute of Neurosciences, Kolkata, WB, India
     

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Aortic aneurysm causing bone erosion is uncommon and is rarely associated with neurological deficits. Only few cases have been reported. We report a case of atherosclerotic aneurysm of the descending thoracic aorta causing extensive erosion of vertebral bodies T5-8, leading to invasion of the spinal canal and compression of the cord. The clinical signs were chronic thoracolumbar pain and spastic paraparesis. Clinicians must remain cognizant while evaluating a case of spastic paraparesis about the possibility of aortic aneurysm, a potentially treatable cause.

Keywords

Aortic Aneurysm, Spastic Paraparesis.
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  • Atherosclerotic Aortic Aneurysm:An Unusual Cause of Spastic Paraparesis

Abstract Views: 186  |  PDF Views: 1

Authors

V. Chatale
Society of Neuro-Vascular Intervention, Mumbai, India
S. Lahoti
Society of Neuro-Vascular Intervention, Pune, India
A. Pandit
Department of Neurology, Bangur Institute of Neurosciences, Kolkata, WB, India
G. Ganguly
Department of Neurology, Bangur Institute of Neurosciences, Kolkata, WB, India

Abstract


Aortic aneurysm causing bone erosion is uncommon and is rarely associated with neurological deficits. Only few cases have been reported. We report a case of atherosclerotic aneurysm of the descending thoracic aorta causing extensive erosion of vertebral bodies T5-8, leading to invasion of the spinal canal and compression of the cord. The clinical signs were chronic thoracolumbar pain and spastic paraparesis. Clinicians must remain cognizant while evaluating a case of spastic paraparesis about the possibility of aortic aneurysm, a potentially treatable cause.

Keywords


Aortic Aneurysm, Spastic Paraparesis.

References