Document Detail

Paraparesis as the major initial presentation of aortic dissection: report of four cases.
MedLine Citation:
PMID:  15666695     Owner:  NLM     Status:  MEDLINE    
Aortic dissection, which typically manifests as sudden tearing or migratory pain, is a well-known medical emergency. However, in 5% of aortic dissection patients, there is no pain. In these patients, the diagnosis depends on the development of neurologic complications. After analyzing the initial symptoms of a series of patients with aortic dissection, we found 4/211 (1.9%) patients suffered from paraparesis. We suggested that the mid- or low thoracic cord be most vulnerable site during acute aortic dissection. This report highlighted the importance of considering the diagnosis of aortic dissection in a patient with a history of acute onset of transient or permanent neurological symptoms in the lower limbs. Whether paraparesis can be an indicator of the prognosis of aortic dissection requires further researches.
Yung-Chu Hsu; Chou-Ching K Lin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta neurologica Taiwanica     Volume:  13     ISSN:  1028-768X     ISO Abbreviation:  Acta Neurol Taiwan     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2005-01-25     Completed Date:  2005-02-22     Revised Date:  2008-05-28    
Medline Journal Info:
Nlm Unique ID:  9815355     Medline TA:  Acta Neurol Taiwan     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  192-7     Citation Subset:  IM    
Department of Neurology, National Cheng Kung University Hospital, Tainan.
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MeSH Terms
Aneurysm, Dissecting / complications*
Aortic Aneurysm / complications*
Middle Aged
Paraparesis / etiology*

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