Acute aortic dissection case with stroke presentation.

Abstract

The correct diagnosis of acute aortic syndrome complicated by neurologic symptoms is essential. Performing thrombolytic therapy for acute-stage cerebral infarction would probably be the reason for fatal outcomes. We herein report the case of a 63-year-old man who presented with left hemiparesis and paraparesis. An acute myocardial infarction was excluded by electrocardiography and blood tests. Head computed tomography (CT) showed no remarkable findings. Although there was no chest pain, it was found in CT-angiography that he has an intramural hematoma in the ascending aorta and a severe dissection in the descending aorta. Aortic dissection may mimic acute stroke, in order to make the right decision about the treatment of acute aortic syndrome with neurologic complications, the benefits and risks should therefore be considered in individual patients.