Acute Leriche Syndrome Mimicking Spinal Cord Infarction: A Case Report
Abstract: Introduction: Acute Leriche syndrome is a rare but potentially life-threatening condition. Pain, pallor, and coldness of the lower extremities serve as clues for suspecting Leriche syndrome. However, the absence of these findings may pose a diagnostic challenge. Case Presentation: An 83-year-old man presented at our emergency department with a complaint of sudden-onset paraparesis. Initially, spinal cord infarction was suspected due to clinical course and neurological findings, but thoracolumbar MRI showed normal findings. On admission, symptoms associated with aortoiliac occlusion were not present, except for muscle atrophy in the thigh. CT angiography revealed aortoiliac occlusion, leading to a diagnosis of Leriche syndrome. Conclusion: Leriche syndrome should be considered as a potential differential diagnosis in patients with acute paraparesis. Muscle atrophy of the lower limbs disproportionate to the clinical course may be the clue for suspecting acute Leriche syndrome with symptoms related to atherosclerotic occlusion which are inconspicuous.
- Standort
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Deutsche Nationalbibliothek Frankfurt am Main
- Umfang
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Online-Ressource
- Sprache
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Englisch
- Erschienen in
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Acute Leriche Syndrome Mimicking Spinal Cord Infarction: A Case Report ; volume:16 ; number:1 ; year:2024 ; pages:148-153 ; extent:6
Case reports in neurology ; 16, Heft 1 (2024), 148-153 (gesamt 6)
- Urheber
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Kanbayashi, Takamichi
Tanaka, Sonoko
Matsukura, Kiyoshi
Sonoo, Masahiro
Kobayashi, Shunsuke
- DOI
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10.1159/000539456
- URN
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urn:nbn:de:101:1-2406270056231.268984470570
- Rechteinformation
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
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14.08.2025, 10:53 MESZ
Datenpartner
Deutsche Nationalbibliothek. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.
Beteiligte
- Kanbayashi, Takamichi
- Tanaka, Sonoko
- Matsukura, Kiyoshi
- Sonoo, Masahiro
- Kobayashi, Shunsuke
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