Key result
Aortic arch dissection presents as acute cerebral ischemia and severe hemiparesis in a 37-year-old man.
Case Report (n=1)
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This case report describes a young patient presenting with acute cerebral ischemia secondary to an aortic arch dissection, highlighting the importance of considering vascular etiologies in acute stroke presentations.
A 37-year-old man with a history of hypertension presen- ted to the emergency department with acute left-sided weakness and slurred speech within 160 minutes from symptom onset.On examination, he was afebrile, with a blood pressure of 147/75 mm Hg and a heart rate of 88 bpm.Heart auscultation revealed a regular rate and rhythm without any murmurs, and peripheral arterial pulses were symmetrical.Neurological examination disclosed severe left-sided hemiparesis, dysarthria, left-sided hemineglect, left hemisensory loss, and right-gaze deviation.His National Institutes of Health Stroke Scale score was 18 points.Emergent chest x-ray and brain computed tomography were normal.A 12-lead ECG showed sinus rhythm (92 beats) and T-wave inversions in the inferolateral leads.The patient complained of no chest pain, and the blood creatine kinase and troponin levels were within normal range.
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Tsivgoulis et al. (2011) conducted a case report in Acute cerebral ischemia and aortic arch dissection (n=1). Aortic arch dissection was evaluated. A 37-year-old man presented with acute cerebral ischemia and severe left-sided hemiparesis secondary to an aortic arch dissection.
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