01 December 2019
: Case report
Aortic Dissection: An Easily Missed Diagnosis when Pain Doesn’t Hold the Stage
Challenging differential diagnosis
Maria Mirabela Manea12ABEFG, Dorin Dragos34CDE*, Florian Antonescu12B, Adrian George Sirbu56BD, Andreea Taisia Tiron78CD, Ana Maria Dobri2D, Sorin Tuta12CDGDOI: 10.12659/AJCR.917179
Am J Case Rep 2019; 20:1788-1792
Abstract
BACKGROUND: Type A aortic dissection (AD) is a rare disease, with a high mortality rate. Its most common symptom is thoracic pain, which is nevertheless absent in about 6% of cases. Neurologic complications are extremely rare and include ischemic stroke and ischemic neuropathy (which are the most common as presenting symptoms), spinal cord ischemia, and hypoxic encephalopathy. These rare neurological presentations can often be missed at initial clinical examination.
CASE REPORT: We report 2 cases of patients presenting with seemingly mild neurological symptoms. However, diagnostic tests revealed acute type A AD, and further steps were taken.
CONCLUSIONS: Although it is a rare cause of transient stroke or peripheral nerve ischemia, AD should be quickly recognized as a potential cause of new-onset neurological manifestations.
Keywords: Aortic Diseases, Ischemic Attack, Transient, Paresis, Aged, Aneurysm, Dissecting, computed tomography angiography, Fatal Outcome, Missed Diagnosis, Peripheral Nervous System Diseases
SARS-CoV-2/COVID-19
11 August 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936496
09 August 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.937505
29 July 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.937105
08 July 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.937212
In Press
18 Aug 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.937195
17 Aug 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936537
16 Aug 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.937511
16 Aug 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.937598
Most Viewed Current Articles
13 Jul 2022 : Case report
DOI :10.12659/AJCR.936441
Am J Case Rep 2022; 23:e936441
23 Feb 2022 : Case report
DOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250
06 Dec 2021 : Case report
DOI :10.12659/AJCR.934406
Am J Case Rep 2021; 22:e934406
17 Feb 2022 : Case report
DOI :10.12659/AJCR.934399
Am J Case Rep 2022; 23:e934399