Myelopathy in adult aortic coarctation: Causes and caveats o
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A 57-year-old female presenting with acute-onset paraplegia was referred for magnetic resonance imaging (MRI) of the cervicodorsal spine. On MRI, multiple tortuous dilated vessels were noted in the epidural space with long segment cord compression and imaging features of compressive myelopathy. The associated small acute cervicodorsal epidural hematoma was also noted in the same region. Computed tomography (CT) angiography was performed subsequently which revealed postductal coarctation of aorta with multiple arterial collaterals in the chest wall and spinal canal. An extensive review of English language literature pertaining to the clinical presentations of adult aortic coarctation revealed only a few reports of acute compressive myelopathy due to spinal epidural collateral vessels.

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