Paraplegia with lumbar artery compression by the diaphragmatic crus

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Presentation transcript:

Paraplegia with lumbar artery compression by the diaphragmatic crus Michel Batt, MD, André Rogopoulos, MD, Daniel Benchimol, MD, René Chapot, MD, Elixène Jean-Baptiste, MD, Patrick Baque, MD Journal of Vascular Surgery Volume 48, Issue 4, Pages 1017-1021 (October 2008) DOI: 10.1016/j.jvs.2008.05.020 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 (case 1): Selective spinal cord arteriography: A, The second right lumbar artery (a) give rise to a posterior spinal artery (b). Stenosis is visible on the prevertebral segment (c), catheter (d). B, The second right lumbar artery is completely occluded (a) when the lower limbs are fully extended, catheter (d). C, The second left lumbar artery supplies blood to the posterior spinal artery through a retrocorporeal anastomosis (e), catheter (d). The second left lumbar artery (f). Journal of Vascular Surgery 2008 48, 1017-1021DOI: (10.1016/j.jvs.2008.05.020) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 (case 1): Angio – CT scan: The second right lumbar artery (a) is running between the diaphragmatic crus (b) and the vertebral body. Journal of Vascular Surgery 2008 48, 1017-1021DOI: (10.1016/j.jvs.2008.05.020) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 (case 1): Post-operative spinal cord arteriography. The second right lumbar artery appear normal. Catheter (a); second right lumbar artery (b); posterior spinal artery (c). Journal of Vascular Surgery 2008 48, 1017-1021DOI: (10.1016/j.jvs.2008.05.020) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 4 (case 3): Selective spinal cord arteriography: Arteria radicularis magna (ARA) arose from the eighth right intercostals artery (a), and the anterior spinal artery could not be visualized beyond T12-L1 (b). Journal of Vascular Surgery 2008 48, 1017-1021DOI: (10.1016/j.jvs.2008.05.020) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 5 (case 3): Selective spinal cord arteriography in hyperlordosis: stenotic lesion (a); second right lumbar artery (b); catheter (c). Journal of Vascular Surgery 2008 48, 1017-1021DOI: (10.1016/j.jvs.2008.05.020) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions