Abstract

PATINO-PEREZ, Valentina; TOBAR-SOLARTE, Juan Camilo; IMBACHI, Richard Fernando  and  PINZON-FERNANDEZ, María Virginia. Sudden onset motor neurological symptoms in Leriche’s syndrome. CES Med. [online]. 2021, vol.35, n.1, pp.68-74.  Epub Oct 27, 2021. ISSN 0120-8705.  https://doi.org/10.21615/cesmedicina.35.1.8.

Leriche syndrome is a rare disease with high morbidity and mortality that occurs due to occlusion of the main branches of the abdominal aorta below the bifurcation of the renal arteries. Clinically, it is characterized by the triad of claudication, impotence and decreased femoral pulses. Diagnosis is confirmed by abdominal Doppler ultrasound or computed tomography angiography and treatment is based on restoration of arterial flow below the level of occlusion. We present the case of a patient with an atypical clinical presentation of sudden onset of low back pain, paraparesis and lividity of the lower limbs, with rapid deterioration of his general condition that required urgent endovascular intervention. On this occasion, the neurological symptoms can be explained by reduced blood flow in the magna spinal artery, which in 25% of the population originates at or below L1 and can generate spinal cord ischemia. The atypical presentation of this report makes it a clinical challenge of great importance.

Keywords : Leriche Syndrome; Aorta Abdominal, Arterial Occlusive Diseases; Neurological Symptoms; Peripheral Vascular diseases.

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