Paraparesis and Acute Renal Failure as the Major Presentationof Aortic Dissection

Main Article Content

Pawut Mekawichai

Abstract

Aortic dissection (AD) is a serious condition with high mortality rate and needs early diagnosis and treatment.Most of the patients with AD present with suddenly severe pain in chest and mid-back area. However, painlessdissection has occurred in some patients with AD. These patients have presented with the symptoms of vascularinsufficiency in any organ which is supplied by the aorta. In this paper, I reported the patient with painless ADpresenting with paraparesis and acute renal failure.

Article Details

How to Cite
Mekawichai, P. (2024). Paraparesis and Acute Renal Failure as the Major Presentationof Aortic Dissection. Maharat Nakhon Ratchasima Hospital Journal, 35(3), 169–174. retrieved from https://he04.tci-thaijo.org/index.php/MNRHJ/article/view/1760
Section
Case Report

References

Anagnostopoulos CE, Prabhakar MJ, Kittle CF. Aortic dissections and dissecting aneurysms. Am J Cardiol 1972; 30: 263-73.

Inamasu J, Hori S, Yokoyama M, Funabiki T, Aoki K, Aikawa N. Paraplegia caused by painless acute aortic dissection. Spinal Cord 2000; 11: 702-4.

Mohr JP, Benavente O, Barnett HJ. Spinal Cord Ischemia. In: Barnett HJ, Mohr JP, Stein BM, Yatsu FM, editors. Stroke Pathophysiology, Diagnosis, and Management. Philadelphia: Churchill Livingstone; 1998. p.423.

Joo JB, Cummings AJ. Acute thoracoabdominal aortic dissection presenting as painless, transient paralysis of the lower extremities: a case report. J Emerg Med 2000; 19: 333-7.

Sukeeyamanon W, Siriapisith T, Wasinrat J. Preoperative localization of Adamkiewicz arteries and their origins by using MDCT angiography. J Med Assoc Thai 2012; 93: 1430-6.

Hurst, RW. Spinal vascular disorders. In: Atlas SW, editor. Magnetic Resonance Imaging of the Brain and Spine. 2nd ed. Philadelphia: Lippincott; 2006. p.1387.

Cheshire WP, Santos CC, Massey EW, Howard JF Jr. Spinal cord infarction: etiology and outcome. Neurology 1996; 47: 321-30.

Hsu YC, Lin CC. Paraparesis as the major initial presentation of aortic dissection: report of four cases. Acta Neurol Taiwan 2004; 13: 192-7.

Woywodt A, Stabroth C, Kadow K, Krupp G, Luft FC. The patient with low back pain and acute oliguric renal failure. Nephrol Dial Transplant 2000; 15: 544-6.

Siegelman SS, Sprayregen S, Strasberg Z, Attai LA, Robinson G. Aortic dissection and the left renal artery. Radiology 1970; 95: 73-8.

Karthikesalingam A, Holt PJ, Hinchliffe RJ, Thompson MM, Loftus IM. The diagnosis and management of aortic dissection. Vasc Endovascular Surg 2010; 3: 165-9.

Daily PO, Trueblood HW, Stinson EB, Wuerflein RD, Shumway NE. Management of acute aortic dissections. Ann Thorac Surg 1970; 10: 237-47.

Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA 2000; 283: 897-903.