AI Article Synopsis
- Acute Leriche syndrome is a serious condition characterized by reduced blood flow to the lower limbs, typically indicated by pain, paleness, and coldness, though symptoms may not always be present, complicating diagnosis.
- An 83-year-old man presented with sudden leg weakness (paraparesis), which was initially misdiagnosed as a spinal cord issue, but imaging revealed no spinal problems and identified aortoiliac occlusion instead.
- The case highlights the need to consider Leriche syndrome in patients with unexplained leg weakness and the importance of assessing for subtle signs like muscle atrophy in the thighs.
Article 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.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11250112 | PMC |
| http://dx.doi.org/10.1159/000539456 | DOI Listing |
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