Document Type
Article
Publication Date
1-1-2013
Abstract
Emergency medicine dogma traditionally teaches that aortic dissection presents as tearing chest pain, radiating to the back. This case report describes a 55 year old woman presenting with a left homonymous hemianopsia and resultant gait disturbance. Initial head CT demonstrated a right parietal infarct, and chest radiograph demonstrated a markedly widened mediastinum. Acute Stanford Type A aortic dissection was subsequently confirmed. This report provides further evidence for atypical, painless presentations of aortic dissection. Given recent literature on the increasing prevalence of painless dissection, the disease entity should be included in the differential diagnosis for stroke, and a simple portable chest x-ray should always be obtained prior to administering thrombolytics.
Recommended Citation
Estreicher, Michael; Portale, Joseph; and Lopez, Bernard, "Aortic dissection presenting as gait disturbance: a case report." (2013). Department of Emergency Medicine Faculty Papers. Paper 16.
https://jdc.jefferson.edu/emfp/16
PubMed ID
22742952
Comments
This article has been peer reviewed. It is the authors' final version prior to publication in The American Journal of Emergency Medicine
Volume 31, Issue 1, January 2013, Pages: 269.e1-269.e2
The published version is available at DOI: 10.1016/j.ajem.2012.04.029. Copyright © Elsevier Inc.