A 50 year old man was undergoing a coronary angiogram in preparation f
or possible cardiac bypass surgery at Queen Alia Heart Institute (QAHI
) in King Hussein Medical Centre (KHMC) in Amman, Jordan. At the end o
f the procedure, he suddenly developed low back pain and weakness of b
oth lower limbs. Neurological examination revealed incomplete parapleg
ia below L1 with urinary retention. Urgent MRI scan suggested ischaemi
a of the lower part of the spinal cord. Literature search revealed tha
t no such complication of this procedure, which is a common investigat
ion in cardiac centres, has, to date, been reported. The possible caus
es of this patient's paraplegia are discussed.