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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(3):564-571.
Acute Ischemic Polyneuropathy after Acute Abdominal Aortic Occlusion: A case report.
Kim, Ghi Chan , Jeong, Ho Joong , Chung, Heung Chae , Jeong, Sang Wook
Department of Rehabilitation Medicine, Kosin University College of Medicine.
급성 복부 대동맥 폐색 후 발생한 급성 허혈성 말초신경병증 ⁣증례 보고⁣
김기찬, 정호중, 정흥채, 정상욱
고신대학교 의학부 재활의학과
Abstract

A 45-year-old man with a long history of nephrotic syndrome presented with low back pain and progressive weakness of both legs for one day. Physical examination showed an acutely ill-appearing patient with a loss of both femoral artery pulses. Immediate digital subtraction angiography of abdominal aorta revealed total occlusion of the distal abdominal aorta. Transvascular embolectomy using urokinase was undertaken 6 hours later. Digital subtraction angiography after embolectomy revealed both common ilicac arteries to be patent with good distal flow. Electrodiagnostic examinations (post embolectomy 5th and 45th day) revealed peripheral polyneuropathy of both lower extremity. Anticoagulation therapy was continued and the patient was discharged several months later. During this period, there was improvement in both lower limbs from power of grade 1 to 4 except for both ankle dorsiflexors which had not recovered.

We report a rare case of peripheral ischemic polyneuropathy of both lower extremities as the result of acute abdominal aortic occlusion.

Key Words: Abdominal aortic occlusion, Peripheral ischemic polyneuropathy


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