Key result
Transient spinal cord ischemia revealed a silent type A aortic dissection in a patient presenting with a blood pressure of 200/140 mmHg and no significant thoracic or back pain.
Highlights an atypical presentation of type A aortic dissection as transient spinal cord ischemia without classic chest or back pain.
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May signal silent type A dissection in select hypertensive crises; leaves open whether atypical presentations warrant expanded imaging criteria.
Nahed et al. (2021) studied this question. Transient spinal cord ischemia revealed a silent type A aortic dissection in a patient presenting with a blood pressure of 200/140 mmHg and no significant thoracic or back pain.
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