Translumbar aortography has become a widely employed procedure. It has been considered relatively safe and it is not difficult to perform. Although there have been only a few recorded cases of paraplegia secondary to abdominal aortography, this is a complication of great magnitude. A review of the literature reveals five cases reported by Antoni and Lindgreen (1949),1 Boyarsky (1954),2 Baurys (1954),3 Abeshouse and Tiongson (1956),4 and McCormack (1956).5 There are undoubtedly other instances of paraplegia after this procedure which have not been reported. Baurys states that Nelson was acquainted with two cases which occurred in Europe and Canada respectively. Another unreported instance is referred to in an insurance journal.6 The following report places on record still another instance of this catastrophic complication of aortography.
Report of a Case
A 50-year-old man was first admitted to Vanderbilt Hospital in June, 1949, because of hypertension, hypertensive
Grossman LA, Kirtley JA. PARAPLEGIA AFTER TRANSLUMBAR AORTOGRAPHY. JAMA. 1958;166(9):1035-1037. doi:10.1001/jama.1958.62990090001009