Diagnosis and treatment of aortic dissection combined with paraplegia:a report of two cases and literature review
Objective To explore the early treatment and diagnosis modalities of 2 patients with aortic coarctation com-bined with paraplegia and to review the relevant literature.Methods The clinical data of two patients with aortic dis-section combined with paraplegia were analyzed,and the relevant literature was reviewed.Results The diagnosis of aortic dissection combined with paraplegia was confirmed by CTA and the clinical presentation of the patients.Symp-toms were improved after endoluminal repair with aortic coated stent,cerebrospinal fluid drainage,and methylpred-nisolone treatment.The patients were followed up outside the hospital,and their symptoms were improved significantly.Conclusion Aortic dissection combined with paraplegia can be treated with endoluminal repair of aortic coated stent,cerebrospinal fluid drainage and methylprednisolone,which increases the cure rate of paraplegia and provides clinical i-deas for the treatment of this type of patients.
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