| Painless acute aortic dissection with a left hemiparesis: a case report. | |
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MedLine Citation:
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PMID: 17903995 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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We report a patient with completely painless acute aortic dissection who presented with transient left hemiparesis. A 59-year-old male presented to our Emergency Department with left-sided weakness of sudden onset. We therefore suspected cerebrovascular accident. A computed tomography scan of the head did not show any abnormal findings; however, the patient's neurologic symptoms disappeared suddenly, and he recovered fully. We therefore considered the diagnosis of transient ischemic attack. However, immediately thereafter, the patient's neurologic symptoms returned. The cycle of symptom appearance and recovery recurred 3 times over a period of a few minutes. The final diagnosis was acute aortic dissection (DeBakey type II Stanford type A). Completely painless acute aortic dissection who presented with only neurologic symptoms, which made the diagnosis of acute aortic dissection extremely difficult. |
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Authors:
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Seiji Morita; Masayoshi Shibata; Yoshihide Nakagawa; Isotoshi Yamamoto; Sadaki Inokuchi |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association Volume: 14 ISSN: 1532-8511 ISO Abbreviation: J Stroke Cerebrovasc Dis Publication Date: 2005 Jan-Feb |
Date Detail:
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Created Date: 2007-10-01 Completed Date: 2008-04-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9111633 Medline TA: J Stroke Cerebrovasc Dis Country: United States |
Other Details:
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Languages: eng Pagination: 36-8 Citation Subset: - |
Affiliation:
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Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Kanagawa, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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