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(Stroke. 1972;3:238.)
© 1972 American Heart Association, Inc.

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Case Report. Spinal Cord Ischemia Associated With Repair of a Ruptured Abdominal Aortic Aneurysm

Leon Michaels M.D., F.R.C.P. (C)¹

¹ Faculty of Medicine, University of Manitoba, and the Winnipeg General Hospital Winnipeg, Manitoba, Canada

The Manitoba Clinic, 790 Sherbrook Street, Winnipeg, Manitoba, Canada, R3A 1M3.

Spinal cord ischemia is a rare complication of rupture of an abdominal aortic aneurysm or its emergency surgical treatment; only seven cases have been reported previously. A patient with this complication is described. It was characterized by postoperative total loss of all forms of sensation in the legs and partial sparing of motor function. The patient had been in shock, but the only other organ to suffer ischemic changes was the bowel. The condition, therefore, was attributed to local interference with the blood supply of the lumbosacral cord which is derived principally from the abdominal aorta through varying numbers of lumbar arteries. Recovery was virtually complete.

Key Words: Adamkiewicz • artery of lumbrosacral cord • blood supply of