Occlusion Collusion: A Case of Acute Aortic Occlusion Mistaken for Acute Spinal Infarction

Acute aortic occlusion (AAO) carries high morbidity and mortality, though it can present with vague symptoms that mimic other less serious pathologies. Various comorbidities will predispose patients to AAO, including any hypercoagulable conditions, hypertension, diabetes, and tobacco use. The level of occlusion dictates symptomatology, with distal occlusions frequently mimicking neurologic pathology. Prompt imaging and vascular surgery consultation are critical for definitive management. Due to the challenging and protean presentations and severe complications, emergency clinicians must maintain a high index of suspicion for an AAO.