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Acute aortic occlusion presenting as acute paraplegia: Never forget to examine the pulses
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Acute aortic occlusion presenting as acute paraplegia: Never forget to examine the pulses

The American Journal of Emergency Medicine·September 5
Emergency MedicineSafety signalAcute Aortic OcclusionParaplegiaCase ReportAdult

Summary

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What was studied

This case report evaluates acute aortic occlusion (AAO) presenting as acute paraplegia, highlighting the diagnostic importance of peripheral pulse examination in the emergency setting.

Key findings

The case illustrates that AAO can mimic acute spinal cord pathology; pulse examination was the key clinical finding that redirected the diagnosis from a neurological to a vascular emergency.

Study limitations

Single case report with no comparative data; findings may not generalize broadly. Full clinical details, outcomes, and management results are not available from the abstract alone.

Clinical implications

In any patient presenting with sudden-onset paraplegia, always perform a thorough pulse examination of the lower extremities — absent femoral or distal pulses should immediately raise suspicion for acute aortic occlusion, a life-threatening vascular emergency.

Caveats

  • Only the paper metadata (title, DOI, journal, date) was provided — no abstract or full text was available. Summary content is inferred from the title alone and may not reflect all study details.
  • Patient age, sex, and specific clinical/outcome data could not be extracted; relevant tags were omitted or generalized.
  • Study design classified as Case Report based on title framing, but this cannot be confirmed without access to the full text.

Related Questions

Explore related topics

What are the key clinical features that distinguish acute aortic occlusion from spinal cord infarction in the emergency department?How should acute aortic occlusion be managed when it presents with lower limb neurological deficits?What is the prognosis and neurological recovery after acute aortic occlusion causing paraplegia?

Publication Details

Year
2026
Journal
The American Journal of Emergency Medicine
Sample Size
n=1
Source
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