Key result
Aortic repair resolves spinal cord ischemia, though literature shows pain in only ~48% of cases.
Population
A 64-year-old male with Stanford type A aortic dissection and spinal cord ischemia, plus a literature review
Design
Case report with literature review
Authors
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Highlights need for high suspicion in painless SCI from dissection; case report leaves open generalizability of outcomes.
Case Report (n=1)
Early diagnosis and appropriate management, including surgical or endovascular repair and cerebrospinal fluid drainage, are crucial for better outcomes in patients with spinal cord ischemia secondary to aortic dissection.
Elshony et al. (2021) conducted a case report in Spinal cord ischemia secondary to aortic dissection (n=1). Aortic surgical repair was evaluated on Functional outcome. Aortic surgical repair resolved spinal cord ischemia in a 64-year-old male; a literature review found pain is present in only 47.8% of such cases, with older age increasing mortality risk.
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