Neurological symptoms in acute Leriche’s syndrome
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Sirs: The Leriche’s syndrome represents an arterial occlusion of the aortic bifurcation with ischemic symptoms of both legs. An acute occlusion of the distal aorta and iliac arteries is associated with considerable morbidity and mortality. Often, there is a latency stage between the initial pathophysiologic event and the onset of symptoms. Therefore, rapid diagnosis and therapy is crucial for the survival of the patient. Here, we report a case of acute Leriche’s syndrome with thrombotic occlusion of infrarenal aorta and upper mesenteric artery, initially presenting with neurological symptoms.
An 81-years-old man was admitted to the stroke unit with mild paresis of both legs. A cranial computed tomography (CT) did not reveal any cerebral damage. Because of loss of femoral pulses, the patient was transferred to the angiology department. There, he presented with intense pain in both legs and feet which has started the night before. Two weeks prior, the patient had noticed a slight...
KeywordsIliac Artery Superior Mesenteric Artery Peripheral Artery Disease Adult Respiratory Distress Syndrome Bowel Ischemia
We thank Waldemar Hosch, MD, PhD, Department of Radiology, for the CT pictures.
- 2.Quinones-Baldrich W (1993) Acute arterial and graft occlusion. In: Moore WS (ed) Vascular surgery. A comprehensive review. WB Saunders, Philadelphia, p 648Google Scholar
- 10.Rutherford, R. (1992) Acute limb ischemia: clinical assessment and standards for reporting. Semin Vasc Surg, 5(4)Google Scholar