A patient with untreated coarctation of the aorta, as well as shunt-dependent hydrocephalus, developed paraplegia when shunt malfunction resulted in a cerebrospinal fluid pressure greater than 560 mm water. Improvement followed shunt revision. The unique combination of mechanisms involved in the decreased spinal cord perfusion pressure is discussed.
Paraplegia Aortic coarctation Hydrocephalus
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