Key result
Bedside point-of-care ultrasound successfully identified a Stanford type A aortic dissection in a 23-year-old female presenting atypically with headache and right upper limb weakness.
Why the study?
Aortic dissection is often fatal without prompt diagnosis, and its neurological manifestations are frequently missed at initial presentation.
Case Report (n=1)
Bedside POCUS is a useful tool for identifying aortic dissection in the emergency department, even in young patients with atypical neurological presentations.
Suggests POCUS may aid atypical aortic dissection diagnosis; hypothesis-generating and should not yet change practice.
In the absence of prompt diagnosis and treatment, aortic dissection is an extremely dangerous and often fatal medical condition, of which acute coronary syndrome, stroke, limb ischemia, pulmonary embolism, and acute mesenteric ischemia are all possible manifestations. Neurological manifestations of aortic dissection are often missed at presentation. We report a case of a 23-year-old female without any prior characteristics of connective tissue disorder presenting to the emergency department with headache and right upper limb weakness and the utility of bedside point-of-care ultrasound (POCUS) for diagnosing aortic dissection.
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Kaeley et al. (2022) conducted a case report in Aortic Dissection (n=1). Point-of-care ultrasound (POCUS) was evaluated on Diagnosis of aortic dissection. Bedside point-of-care ultrasound successfully identified a Stanford type A aortic dissection in a 23-year-old female presenting atypically with headache and right upper limb weakness.
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