Painless Acute Aortic Dissection Presenting as Left Lower Extremity Weakness and Numbness

Acute aortic dissection usually presents with a sudden, painful, tearing sensation in the chest or back. However, acute aortic dissection may also present atypically without pain and with solely neurological symptoms. We describe a case of painless acute aortic dissection which presented as acute le...

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Bibliographic Details
Published in:Heart, lung & circulation lung & circulation, 2009-04, Vol.18 (2), p.133-135
Main Authors: Kanjanauthai, Somsupha, Kanluen, Tony
Format: Article
Language:English
Subjects:
Aged
Aortic Rupture - diagnosis
Cardiovascular
Diagnosis, Differential
Female
Humans
Hypesthesia
Ischemia
Lower Extremity
Lower extremity numbness
Lower extremity weakness
Muscle Weakness
Painless acute aortic dissection
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Summary:Acute aortic dissection usually presents with a sudden, painful, tearing sensation in the chest or back. However, acute aortic dissection may also present atypically without pain and with solely neurological symptoms. We describe a case of painless acute aortic dissection which presented as acute left lower extremity weakness and numbness. These neurological symptoms are due to vascular occlusion causing peripheral ischaemic neuropathy. It is imperative to consider acute aortic dissection in the differential diagnosis of acute neurological syndromes.
ISSN:1443-9506
1444-2892
DOI:10.1016/j.hlc.2007.11.139