Indian Journal of Radiology and Imaging Indian Journal of Radiology and Imaging

NEUROIMAGING
Year
: 2016  |  Volume : 26  |  Issue : 4  |  Page : 451--454

Myelopathy in adult aortic coarctation: Causes and caveats of an atypical presentation


Chandan Mourya, Ashish Verma, Anand Bansal, Ram C Shukla, Arvind Srivastava 
 Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India

Correspondence Address:
Dr. Ashish Verma
Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi - 221 005, Uttar Pradesh
India

A 57-year-old female presenting with acute-onset paraplegia was referred for magnetic resonance imaging (MRI) of cervico-dorsal spine. On MRI, multiple tortuous dilated vessels were noted in the epidural space with long segment cord compression and imaging features of compressive myelopathy. Associated small acute cervico-dorsal epidural hematoma was also noted in the same region. Computed tomography (CT) angiography was performed subsequently which revealed post-ductal coarctation of aorta with multiple arterial collaterals in the chest wall and spinal canal. An extensive review of English language literature pertaining to the clinical presentations of adult aortic coarctation revealed only few reports of acute compressive myelopathy due to spinal epidural collateral vessels. Further, presentation at such a late age has not been reported before. In the present case, apart from a hypertrophied anterior spinal artery and perispinal collaterals, an anterior epidural hematoma was an additional important factor in the causation of myelopathy.


How to cite this article:
Mourya C, Verma A, Bansal A, Shukla RC, Srivastava A. Myelopathy in adult aortic coarctation: Causes and caveats of an atypical presentation.Indian J Radiol Imaging 2016;26:451-454


How to cite this URL:
Mourya C, Verma A, Bansal A, Shukla RC, Srivastava A. Myelopathy in adult aortic coarctation: Causes and caveats of an atypical presentation. Indian J Radiol Imaging [serial online] 2016 [cited 2020 Apr 6 ];26:451-454
Available from: http://www.ijri.org/article.asp?issn=0971-3026;year=2016;volume=26;issue=4;spage=451;epage=454;aulast=Mourya;type=0