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Painless aortic dissection with initial symptom of right upper extremity weakness: a case report
Kuan-Ting Liu1, Hon-Man Chan, Tzeng-Jih Lin
1Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
The Kaohsiung Journal of Medical Sciences
|February 7, 2007
Summary
Aortic dissection can present with unusual symptoms like limb weakness. This case highlights Stanford type A acute aortic dissection mimicking stroke and limb ischemia.
Area of Science:
- Cardiovascular Medicine
- Neurology
- Emergency Medicine
Background:
- Thoracic aortic dissection is a life-threatening condition often presenting with chest or back pain.
- Atypical presentations can delay diagnosis and treatment, leading to severe complications.
Observation:
- A patient presented to the emergency department with acute right upper limb weakness and numbness.
- Initial investigations for suspected cerebral vascular disease and limb artery occlusion were performed.
Findings:
- The patient experienced sudden collapse in the emergency department.
- Stanford type A acute aortic dissection was diagnosed via chest computed tomography (CT).
Implications:
- This case underscores the importance of considering aortic dissection in patients with atypical neurological or limb symptoms.
- Prompt diagnosis and management of aortic dissection are critical for improving patient outcomes.
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