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The Role of Transeophageal Echocardiography in the Acute Onset of Paraplegia
Stroke 23:1660-1661, Walsh,D.V.,et al, 1992
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Article Abstract
Two patients presented with acute paraplegia,one spontaneously and the other after removal of an intra-aortic balloon pump catheter.Through the use of transeophageal echocardiography,we excluded aortic dissection and identified protruding atherosclerotic plaques in the descending thoracic aorta of each patient.Embolization of atheromatous material from the thoracic aorta was considered the most likely etiology of paraplegia in both cases.Embolization from atherosclerotic plaques in the thoracic aorta may be an underestimated cause of acute paraplegia.Transesophageal echocardiography provides a safe,rapid,and reliable tool for investigating a vascular etiology of acute paraplegia.
 
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aorta,atherosclerosis
echocardiogram
echocardiogram,transesophageal
embolism
embolism,aortic
embolism,atheromatous
intraaortic balloon pump
paraplegia
paraplegia,acute
spinal cord,embolism of
spinal cord,infarction of
spinal cord,ischemic lesion of

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