Painless dissections of the aorta presenting as acute neurologic syndromes

We describe three patients who had painless dissections of the aorta which resulted in neurologic syndromes at the time of presentation. Two patients had acute hemimotor and sensory findings. In one of these cases progression to paraplegia occurred. In a third patient, acute weakness and ischemia of...

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Bibliographic Details
Published in:Stroke (1970) 1986-07, Vol.17 (4), p.644-647
Main Authors: GERBER, O, HEYER, E. J, VIEUX, U
Format: Article
Language:English
Subjects:
Acute Disease
Aged
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnosis
Aneurysm, Dissecting - diagnostic imaging
Aortic Aneurysm - complications
Aortic Aneurysm - diagnosis
Aortic Aneurysm - diagnostic imaging
Aortography
Biological and medical sciences
Blood and lymphatic vessels
Brain Ischemia - etiology
Cardiology. Vascular system
Diagnosis, Differential
Diseases of the aorta
Female
Hemiplegia - etiology
Humans
Ischemia - etiology
Male
Medical sciences
Middle Aged
Nervous System - blood supply
Neurology
Pain
Vascular diseases and vascular malformations of the nervous system
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Summary:We describe three patients who had painless dissections of the aorta which resulted in neurologic syndromes at the time of presentation. Two patients had acute hemimotor and sensory findings. In one of these cases progression to paraplegia occurred. In a third patient, acute weakness and ischemia of a leg occurred at presentation. We review previously described painless aortic dissections. Such aortic dissections may be suspected in the setting of an acute neurologic event by abnormalities in the examination of the peripheral pulses and the heart and by attention to characteristic chest x-ray changes.
ISSN:0039-2499
1524-4628
DOI:10.1161/01.str.17.4.644