PMID: 11074326Nov 14, 2000Paper

Acute thoracoabdominal aortic dissection presenting as painless, transient paralysis of the lower extremities: a case report

The Journal of Emergency Medicine
J B Joo, A J Cummings

Abstract

Acute dissection of the aorta can be one of the most dramatic of cardiovascular emergencies. Its symptoms can occur abruptly and progress rapidly. Prompt recognition and appropriate intervention is crucial. However, not all aortic dissections present with classic symptoms of abrupt chest, back, or abdominal pain, and the diagnosis may be missed. A 63-year-old woman presented with transient loss of lower extremity motor and sensory function as the only symptom of an acute thoracoabdominal aortic dissection. Aortic dissection presenting as a transient neurologic syndrome is quite unusual. The sudden onset of weakness and parasthesia can result from the interruption of blood flow to the spinal cord. These symptoms of acute spinal cord ischemia, suggestive of a serious cardiovascular event, must be recognized and thoroughly investigated.

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Citations

Jun 18, 2005·The Journal of Emergency Medicine·Shunya KamanoHisashi Kurosawa
Sep 5, 2013·Journal of General Internal Medicine·Meheroz H Rabadi
Oct 10, 2008·Chest·Jennifer A JohnsonAlison N Miller
Feb 7, 2007·The Kaohsiung Journal of Medical Sciences·Kuan-Ting LiuTzeng-Jih Lin
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Dec 2, 2008·The American Journal of Emergency Medicine·Bao-Fang LinWei-Tso Chia
Apr 6, 2006·The Journal of Clinical Hypertension·Joel Handler
Feb 14, 2012·Journal of Vascular Surgery·Lars NiclaussLudwig Karl von Segesser
Jul 12, 2014·The Spine Journal : Official Journal of the North American Spine Society·Gisele Sampaio Silva, Raul Alberto Valiente
Jul 12, 2011·Journal of Vascular Surgery·Laura van ZeggerenGert J de Borst
Aug 25, 2016·The Journal of Emergency Medicine·Kate E HughesDavid Castle
Mar 18, 2011·European Neurology·S BrunotM Giroud
Dec 5, 2012·The Journal of International Medical Research·R-B SuiK Liu
Feb 4, 2011·Spine·Georgios K TriantafyllopoulosSpyridon G Pneumaticos
Mar 7, 2018·BMC Cardiovascular Disorders·Nilukshana YogendranathanAruna Kulatunga
Nov 22, 2011·Journal of Korean Neurosurgical Society·Jae Yoel KwonByung Chul Son
Nov 26, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·Hiroshi ImamuraKazufumi Okamoto
Oct 11, 2020·The American Journal of Emergency Medicine·Yuhei Uriu, Akira Kuriyama

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