• A 10-year-old boy had acute flaccid paraparesis with sensory deficits. Attention was drawn to his hitherto asymptomatic coarctation of the aorta. Angiography defined the extent of the dilated anterior spinal artery, and reversal of the flow pattern. The residual deficits consisted of minimal impairment of long motor and lateral sensory tract functions in a unilateral fashion, suggesting a steal syndrome with transient ischemia to the spinal cord. Recovery preceded surgical correction of the coarctation.
Darwish H, Archer C, Modin J. The Anterior Spinal Artery Collateral in Coarctation of the Aorta: A Clinical Angiographic Correlation. Arch Neurol. 1979;36(4):240–243. doi:10.1001/archneur.1979.00500400094018
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: