Neurological symptoms in aortic dissection: a challenge
Síntomas neurológicos en disección de aorta: un desafío
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Abstract
Introduction: aortic dissection should be considered in any patient with sudden chest or abdominal pain and rapid progression to peak pain. Transient or permanent neurological symptoms at onset are not only frequent (17-40%) but may mask the underlying condition, especially in pain-free dissection (5-15%). Objective: to report on a patient with neurological symptoms caused by aortic dissection with no evidence of lesions by neuroimaging. Case report: male patient admitted to a medium complexity hospital in Caldas, Antioquia, Colombia, for presenting neurological manifestations suggestive of cerebrovascular accident. He was referred to a high complexity center in Envigado, Colombia, where aortic dissection was diagnosed by a CT angiogram. Discussion and conclusions: aortic dissection has a broad clinical spectrum and may be deadly if not considered in the presence of neurological symptoms receiving thrombolytic treatment; pain-free dissection is real and constitutes a diagnostic challenge. Neurological symptoms are associated with increased mortality but are not acontraindication for surgery.
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