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Peripheral Neurological Complications of Aortoiliac Vascular Disease

Published online by Cambridge University Press:  18 September 2015

Monique L. D'Amour ,
Louise Hélène Lebrun ,
Antoine Rabbat ,
Jules Trudel  and
Nicole Daneault
Monique L. D'Amour*
Affiliation:
Division of Neurology and Vascular Surgery, St-Luc Hospital, Montreal University, Montreal, Quebec
Louise Hélène Lebrun
Affiliation:
Division of Neurology and Vascular Surgery, St-Luc Hospital, Montreal University, Montreal, Quebec
Antoine Rabbat
Affiliation:
Division of Neurology and Vascular Surgery, St-Luc Hospital, Montreal University, Montreal, Quebec
Jules Trudel
Affiliation:
Division of Neurology and Vascular Surgery, St-Luc Hospital, Montreal University, Montreal, Quebec
Nicole Daneault
Affiliation:
Division of Neurology and Vascular Surgery, St-Luc Hospital, Montreal University, Montreal, Quebec
*
Division of Neurology, St-Luc Hospital, 1058 St-Denis, Montreal, Quebec, Canada H2X 3J4
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Abstract:

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Six patients with an aortoiliac vascular disease and a peripheral neurological deficit are presented. Clinical and electromyographic findings revealed lumbosacral plexus, sciatic and femoral nerve lesions. A correlation is made between the level of the vascular lesion (aortic, aortoiliac or distally) and the type of peripheral nerve deficit observed. In a patient complaining of pain, weakness, or numbness in a leg, the differential diagnosis should include aortoiliac vascular disease. The peripheral neurological symptoms may be the initial manifestation of the vascular disease or may appear in the early post-operative period.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 14 , Issue 2 , May 1987 , pp. 127 - 130
Copyright
Copyright © Canadian Neurological Sciences Federation 1987

References

REFERENCES

1.Szilagyi, DE, Hageman, JH, Smith, RF. Spinal cord damage in surgery of the abdominal aorta. Surgery 1978; 83: 38–56.Google Scholar
2.Barker, WF.Anatomy. In: Gaspar, MR, Barker, WF.eds. Peripheral arterial disease. WB Saunders Co., Philadelphia 1981; 1–37.Google Scholar
3.Sunderland, S. Nerves and nerve injuries. Churchill Livingstone, Edinburgh 1978; 925, 961, 1000.Google Scholar
4.Usubiaga, JE, Kolodny, J, Usubiaga, L. Neurological complications of prevertebral surgery under regional anesthesia. Surgery 1970; 68: 304–309.Google ScholarPubMed
5.Voulters, L, Bolton, C. Acute lumbosacral plexus neuropathy following vascular surgery. Can J Neurol Sci 1983; 10: 153.Google Scholar
6.Wilbourn, A, Furlan, AS, Hulley, W, Ruschhaupt, W. Ischemic monomelic neuropathy. Neurology 1983; 33: 447–451.CrossRefGoogle ScholarPubMed
7.Daube, JR, Dyck, PJ. Neuropathy due to peripheral vasculardisease. In: Dyck, PJ, Thomas, PK, Lambert, EH, Bunge, R. Peripheral neuropathy. WB Saunders Co., Philadelphia 1984; 1458–1478.Google Scholar
8.Wilberger, JE. Lumbosacral radiculopathy secondary to abdominal aortic aneurysms. J Neurosurg 1983; 58: 965–967.CrossRefGoogle ScholarPubMed
9.Giraldi, C, Merlini, V, Mosca , F, Farrari, M. Compressionedelplesso lombo-sacrale in un caso di voluminoso aneurisma dell’ arteria iliaca comune. Riv Neurol 1984; 54: 309404.Google Scholar
10.Meek, GN, Hill, RL. Surgical treatment of gluteal artery aneurysms. Am J Surg 1968; 116: 731–734.CrossRefGoogle ScholarPubMed
11.Anderson, JE. Grant’s Atlas of Anatomy. William & Wilkins, Baltimore 1978; 7th Edition 4–12.Google Scholar
12.Sunderland, S. Blood supply of the sciatic nerve and its popliteal divisions in man. Arch Neurol Psychiatry 1945; 283–289.CrossRefGoogle ScholarPubMed
13.Archie, JP. Femoral neuropathy due to common iliac artery occlusion. South Med J 1983; 76: 1073.CrossRefGoogle ScholarPubMed
14.Eames, RA, Lange, LS. Clinical and pathological study of ischaemic neuropathy. J Neurol Neurosurg Psychiatry 1967; 30: 215–226.CrossRefGoogle ScholarPubMed
15.Hess, K, Eames, RA, Darvenezia, P, Gilliatt, RW. Acute ischaemic neuropathy in the rabbit. J Neurol Sci 1979; 44: 19–43.CrossRefGoogle ScholarPubMed
16.Parry, GJ, Cornblath, DR, Brown, MJ. Transient conduction block following acute peripheral nerve ischemia. Muscle and Nerve 1985; 8: 409–412.CrossRefGoogle ScholarPubMed
17.Rudge, P, Ochoa, J, Gilliat, RW. Acute peripheral nerve compression in the baboon. J Neurol Sci 1974; 23: 403–420.CrossRefGoogle ScholarPubMed