Clinical Research in Cardiology

, Volume 99, Issue 7, pp 459–462 | Cite as

Neurological symptoms in acute Leriche’s syndrome

  • Alexandra R. Zankl
  • E. Blessing
  • H. C. Volz
  • U. Krumsdorf
  • H. A. Katus
  • M. Andrassy
Clinical Correspondence

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...


Iliac Artery Superior Mesenteric Artery Peripheral Artery Disease Adult Respiratory Distress Syndrome Bowel Ischemia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



We thank Waldemar Hosch, MD, PhD, Department of Radiology, for the CT pictures.


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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Alexandra R. Zankl
    • 1
  • E. Blessing
    • 1
  • H. C. Volz
    • 1
  • U. Krumsdorf
    • 1
  • H. A. Katus
    • 1
  • M. Andrassy
    • 1
  1. 1.Department of Cardiology and AngiologyUniversity of HeidelbergHeidelbergGermany

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