Neurological symptoms in acute Leriche's syndrome.

Sirs: The Leriche’s syndrome represents an arterial occlusion of the aortic bifurcation with ischemic symptoms of both legs. An acute occlusion of the distal aorta and iliac arteries is associated with considerable morbidity and mortality. Often, there is a latency stage between the initial pathophysiologic event and the onset of symptoms. Therefore, rapid diagnosis and therapy is crucial for the survival of the patient. Here, we report a case of acute Leriche’s syndrome with thrombotic occlusion of infrarenal aorta and upper mesenteric artery, initially presenting with neurological symptoms.