Abstract:
:Acute aortic dissection is a medical emergency. Without prompt recognition and treatment, the mortality rate is high. An atypical presentation makes timely diagnosis difficult, especially if the patient is experiencing no characteristic pain. Many patients with aortic dissection are reported to have presented with various neurologic manifestations, but none with only a presentation of transient locked-in syndrome.Herein, we report a case of completely painless aortic dissection in a woman who presented with a transient episode of anarthria, quadriplegia, and preserved consciousness. On physical examination, she had a 40-point difference in blood pressure between her left and right arms, and a loud diastolic murmur. The diagnosis of acute aortic dissection was reached via a combination of radiography, computed tomography, echocardiography, and a high index of clinical suspicion. The patient underwent emergency surgery and ultimately experienced a successful outcome.To our knowledge, this is the 1st report of aortic dissection that presented solely as locked-in syndrome. We suggest that silent aortic dissection be added to the differential diagnosis for transient locked-in syndrome.
journal_name
Tex Heart Inst Jjournal_title
Texas Heart Institute journalauthors
Nadour W,Goldwasser B,Biederman RW,Taffe Ksubject
Has Abstractpub_date
2008-01-01 00:00:00pages
359-61issue
3eissn
0730-2347issn
1526-6702journal_volume
35pub_type
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journal_title:Texas Heart Institute journal
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journal_title:Texas Heart Institute journal
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journal_title:Texas Heart Institute journal
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journal_title:Texas Heart Institute journal
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journal_title:Texas Heart Institute journal
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更新日期:2011-01-01 00:00:00
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pub_type: 杂志文章,多中心研究
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doi:
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journal_title:Texas Heart Institute journal
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doi:
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更新日期:2010-01-01 00:00:00
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journal_title:Texas Heart Institute journal
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doi:
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journal_title:Texas Heart Institute journal
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journal_title:Texas Heart Institute journal
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更新日期:2011-01-01 00:00:00
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journal_title:Texas Heart Institute journal
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