Journal of Emergency Practice and Trauma

Painless aortic dissection with slurred speech (Neurologic symptom)

Document Type : Case Report

Authors

Esmaeal Rayat Dost 1
Saeed Barazandehpour 2
Navid Kalani 3
Samaneh Abiri 1

1 Department of Emergency Medicine, Jahrom University of Medical sciences, Jahrom, Iran

2 Department of Emergency Medicine, Kerman University of Medical sciences, Kerman, Iran

3 Research center for social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran

https://doi.org/10.34172/jept.2020.18
Abstract
Objective: Aortic dissection is an uncommon disorder with a high mortality rate, especially if misdiagnosis and mistreatment are not considered.
Case Presentation: We present a 67-year old female with slurred speech and left sided plegia during her brother’s funeral. The patient did not have any chest pain. she was referred to our emergency department by EMS due to being suspicious of cerebrovascular accident (CVA) )as code 724). However, owing to low blood pressure and atypical symptoms of the patient, we did RUSH exam in the emergency department to detect aortic dissection. After doing the Computed tomography (CT) angiography, the diagnosis of aortic dissection was confirmed. As the vascular surgeon was not present in our surgery department, we transferred the patient to Namazi hospital by air ambulance to undergo the surgery. She was discharged from hospital with complete recovery.
Conclusion: Aortic dissection symptoms can be manifested in different ways such as pulmonary embolism, ACS, and CVA. Therefore, clinicians must always have the differential diagnosis of aortic dissection in their mind and be aware of its various manifestations.

Keywords

Aortic dissection
CVA
Neurologic symptom
Cerebrovascular accident
Subjects
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Journal of Emergency Practice and Trauma
Volume 7, Issue 1
January 2021
Pages 71-73

  • Receive Date 26 January 2020
  • Revise Date 11 May 2020
  • Accept Date 17 May 2020

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