Journal of Shandong University (Health Sciences) ›› 2024, Vol. 62 ›› Issue (8): 101-106.doi: 10.6040/j.issn.1671-7554.0.2024.0263

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Diagnosis and treatment of aortic dissection combined with paraplegia: a report of two cases and literature review

GAN Qiqing1, LIU Xianhu2, GOU Yuan1, YANG Bin2   

  1. 1. Clinical Medicine School of Jining Medical University, Jining 272002, Shandong, China;
    2. Vascular Surgery, Jining NO.1 Peaples Hospital, Jining 272000, Shandong, China
  • Published:2024-09-20

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Abstract: Objective To explore the early treatment and diagnosis modalities of 2 patients with aortic coarctation combined with paraplegia and to review the relevant literature. Methods The clinical data of two patients with aortic dissection combined with paraplegia were analyzed, and the relevant literature was reviewed. Results The diagnosis of aortic dissection combined with paraplegia was confirmed by CTA and the clinical presentation of the patients. Symptoms were improved after endoluminal repair with aortic coated stent, cerebrospinal fluid drainage, and methylprednisolone treatment. The patients were followed up outside the hospital, and their symptoms were improved significantly. Conclusion Aortic dissection combined with paraplegia can be treated with endoluminal repair of aortic coated stent, cerebrospinal fluid drainage and methylprednisolone, which increases the cure rate of paraplegia and provides clinical ideas for the treatment of this type of patients.

Key words: Aortic dissection, Paraplegia, Spinal cord ischemia, Endoluminal repair of aortic overlay stents, Cerebrospinal fluid drainage, Treatment

CLC Number: 

  • R654.3
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