Sudden Onset Hemiplegia and Neglect: A Case Report of Type A Aortic Dissection Presenting as a Code Stroke

Pederson, Thomas; Ahmed, Yimage; Maddry, Joseph K.; Kester, Nurani

doi:10.14740/jnr638

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2023

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Cited by 2 publications

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“…This case emphasizes the importance of considering aortic pathology even in the absence of characteristic symptoms, especially when there are risk factors or neurological presentations. A few case reports have been published in the literature that describes patients presenting with neurological deficit including transient hemiplegia [5] and seizures [6]. Gaul et al [2] report that 30% of their patients presented with neurological deficits as the first sign of AD.…”

Section: Discussionmentioning

confidence: 99%

A Case of Acute Aortic Dissection Presenting With Neurological Symptoms

Azhar¹,

Rajesh²

2023

Cureus

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Aortic dissection (AD) is a life-threatening condition that presents with diverse and atypical symptoms, making it challenging to diagnose. We present a case of a woman in her 40s who presented to the emergency department with collapse, right-sided weakness, agitation, and confusion. Despite efforts, she went into cardiac arrest and died before a definitive diagnosis was made. The post-mortem examination revealed hemopericardium due to dissection of the ascending thoracic aorta as the cause of death. This case highlights the difficulty in diagnosing AD and the need for a high index of suspicion, especially in patients presenting with neurological symptoms and risk factors.

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Section: Discussionmentioning

confidence: 99%