Key result
A 55-year-old woman presenting with atypical neurovascular symptoms including sudden bilateral leg pain and weakness was diagnosed with an extensive aortic dissection and died one day after endovascular graft implantation.
Case Report (n=1)
Aortic dissection can present atypically with neurovascular symptoms such as bilateral leg pain and weakness, requiring a high index of clinical suspicion to avoid misdiagnosis.
Atypical neurovascular symptoms warrant aortic dissection consideration in acute settings; this case leaves open generalizability of endovascular outcomes.
Introduction: Aortic dissection is a challenging clinical emergency situation. Symptoms and signs can be produced by rupture or the occlusion of a major vessel. We present a case of aortic dissection that presented to the emergency department with neurovascular symptoms.Case Report: A 55-year-old woman was admitted to our emergency department because of a sudden inability to walk and severe leg pain. She had known hypertension. Her distal pulses were weak, and the legs were cold and pale. She had motor deficits in the lower extremities, too. Her computed tomography revealed aortic dissection from the root of the aorta to the common iliac arteries.Results: Presentation of aortic dissection with neurovascular manifestations is not so common. Despite significant advances in diagnostic and therapeutic techniques, morbidity and mortality rates remain high. So, a high clinical index of suspicion and early diagnosis are necessary
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Eroğlu et al. (2014) conducted a case report in Aortic dissection (n=1). Aortic dissection was evaluated on Clinical outcome. A 55-year-old woman presenting with atypical neurovascular symptoms including sudden bilateral leg pain and weakness was diagnosed with an extensive aortic dissection and died one day after endovascular graft implantation.
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