When Aorta Strikes the Spine: A Case of Ulcerated Aortic Plaque Presenting as Asymmetric Paraparesis

REPORTnarrowing of up to 40% and multiple penetrating atheromatous ulcers.No dissection or aneurysm was seen.He was managed with IV heparin, later bridged to oral anticoagulation with acenocoumarol, along with aspirin, atorvastatin, and supportive measures including physiotherapy.Dermatology and pulmonary opinions were obtained for seborrheic dermatitis and productive cough, respectively.On discharge, the patient had partial neurological recovery (right lower limb power 4/5, left lower limb 3/5 at knee, 2/5 at hip and ankle).