The Mount Sinai Journal of Medicine

 

Volume 73 Number 8
December 2006		 back to contents
Painless, Acute Aortic Dissection Presenting as an Acute Stroke 1129-1131
Ahmet Baydin, M.D.1, CemIl Nargis, M.D.2, M. Selim Nural, M.D.3, Dursun Aygun, M.D.1, Aydin Deniz Karatas, M.D.2, and Muzaffer Bahcivan, M.D.4

1Assistant Professor and 2Resident, Emergency Medicine, 3Assistant Professor, Radiology, and 4Assistant Professor, Cardiovascular Surgery, Ondokuz Mayis University, Faculty of Medicine, Department of Emergency Service, Samsun, Turkey.

Address all correspondence to Ahmet Baydin, M.D., Ondokuz Mayis University, Faculty of Medicine, Emergency Medicine, 55139 Samsun, Turkey; email: abaydin@omu.edu.tr

Accepted for publication September 2006.

Abstract

Acute aortic dissection is an uncommon disease; however, it has a high mortality rate. Classically, aortic dissection presents with sudden and severe pain in the chest, back, or abdomen. Patients often describe tearing or ripping pain. There are a few reports of atypical findings or no pain in the literature. We report a case of painless, acute aortic dissection presenting as acute stroke.

Key Words

Painless aortic dissection, acute stroke

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