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Case Reports in Neurological Medicine
Volume 2015, Article ID 713489, 3 pages
Case Report

Acute Aortic Occlusion Presenting as Flaccid Paraplegia

1Department of Neurology, Ibn Sina Hospital, P.O. Box 25427, Safat, 13115 Kuwait City, Kuwait
2Department of Research on Children with Special Needs, National Research Center, Egypt

Received 3 January 2015; Revised 28 February 2015; Accepted 2 March 2015

Academic Editor: José Luis González-Gutiérrez

Copyright © 2015 Ayman Kilany et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 67-year-old male known to be hypertensive and diabetic had a sudden onset of severe low back pain and flaccid paraplegia with no sensory level or bladder affection and the distal pulsations were felt. Acute compressive myelopathy was excluded by MRI of the dorsal and lumbar spines. The nerve conduction study and CSF analysis was suggestive of acute demyelinating polyneuropathy. The patient developed ischemic changes of the lower limb and CT angiography revealed severe stenosis of the abdominal aorta and both common iliac arteries. We emphasize the importance of including acute aortic occlusion in the differential diagnosis of acute flaccid paraplegia especially in the presence of severe back pain even if the distal pulsations were felt.