Abstract
Intramural hematoma (IMH) forms – along with classic aortic dissection and penetrating aortic ulcer – the entity of acute aortic syndrome. Whereas thoracic pain is a common symptom in these patients, an association of IMH with spinal cord ischemia has been rarely described. We present a case of lower limb paraparesis in a patient with IMH type B. General considerations regarding IMH evaluation and treatment are discussed in the face of spinal cord protection strategies.
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