Acute Limb Ischeamia Masquerading As Stroke: A Case Report

Authors

  • Victor Aniedi Umoh Department of Internal Medicine, University of Uyo Teaching Hospital, Uyo
  • Abadom Tochukwu Department of Family Medicine, University of Uyo Teaching Hospital, Uyo

DOI:

https://doi.org/10.60787/tnhj.v12i4.146

Keywords:

Acute Limb Ischeamia, Stroke Mimic, Uyo, Nigeria

Abstract

Background: Acute limb ischemia is an uncommon condition and the diagnosis may be missed as it may mimic more common conditions that cause sudden loss of function in a limb. The aim of this case report is to highlight the possibility of this clinical presentation and improve awareness among practitioners.

Methods: A summary of the case records of a patient with acute limb ischaemia presenting to the emergency unit of the University of Uyo Teaching Hospital and a review of available literature on the subject using Medline, Google and electronic journal database for relevant literature search.

Result: A 56year old hypertensive female with complicated with chronic atrial fibrillation presented with a simultaneous ALI and a transient ischemic attack. ALI resulted in foot gangrene and the patient refused surgical intervention. She died from overwhelming sepsis from foot gangrene. Though ALI is rare, the associated complications of limb loss and even death make early diagnosis and urgent revascularization a priority in the management.

Conclusion: This is a rare condition and a high index of suspicion is required especially in patients with a high risk for peripheral artery disease. An early and thorough evaluation of the limbs is essential to prevent loss of the limb. The diagnosis is usually made clinically with imaging to guide management. The management is to re-establish circulation using endovascular or surgical techniques

Downloads

Download data is not yet available.

References

Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FG. Inter- Society Consensus for the Management of Peripheral Arterial Disease (TASC II). J Vasc Surg 2007;45 Suppl:S5-S67.

Creager MA, Kaufman JA, Conte MS. Acute LimbIschemia.NEnglJ Med 2012;366:2198-206.

Isezuo , Njoku CH, Airede L, Yaqoob I, Musa AA, Bello O. Case Report: Acute Limb Ischaemia and Gangrene associated with Peripartum Cardiomyopathy. Niger Postgrad Med J. 2005;12(3):237-40

Isezuo SA, Musa AA, Saidu SA. Multiple embolisations in rheumatic heart disease: a casereport.WestAfrJMed.2009;28(4):274-6

Akiode O, Shonubi O, Musa A, Sule G. Major limbamputations:an audit of indications in a suburban surgical practice. J Natl Med Assoc. 2005; 97(1): 7478.

Eliason JL, Wainess RM, Proctor MC, Dimick JB, Cowan JA Jr, Upchurch GR Jr, et al. . A national and single institutional experience in the contemporary treatment of acute lower extremity ischemia. Ann Surg 2003;238:382-9.

Earnshaw JJ, Whitman B, Foy C. National AuditofThrombolysisforAcuteLegIschemia(NATALI):clinicalfactorsassociated with early outcome. J Vasc Surg 2004;39:1018-25.

RutherfordRB,BakerJD,ErnstC,Johnston KW, Porter JM, Ahn S, et.al. . Recommendedstandardsforreportsdealing with lower extremity ischemia: revised version. J Vasc Surg 1997;26:517-38. [Erratum, J Vasc Surg 2001;33:805.

MorrisonHL.Catheter-directedthrombolysis for acute limb ischemia. Semin Intervent Radiol 2006;23:258-69.

Downloads

Published

2015-12-22

How to Cite

Umoh, V. A., & Tochukwu, A. (2015). Acute Limb Ischeamia Masquerading As Stroke: A Case Report. The Nigerian Health Journal, 12(4), 110. https://doi.org/10.60787/tnhj.v12i4.146
Abtract Views | PDF Download | EPUB Download: 1047 / 160

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.