Heart, Lung and Circulation
Volume 18, Issue 2 , Pages 133-135 , April 2009

Painless Acute Aortic Dissection Presenting as Left Lower Extremity Weakness and Numbness

  • Somsupha Kanjanauthai (MD)

      Affiliations

    • Department of Internal Medicine, Henry Ford Hospital, Detroit, MI, United States
    • Corresponding Author InformationCorresponding author at: Department of Internal Medicine, Henry Ford Hospital, 2799 West Grand Blvd, CFP-1, Detroit, MI 48202, United States. Tel.: +1 313 916 3829.
    • ,
  • Tony Kanluen (MD)

      Affiliations

    • Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI, United States

Received 10 October 2007 ,Revised 14 November 2007 ,Accepted 21 November 2007.

References 

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  2. Beach C, Manthey D. Painless acute aortic dissection presenting as left lower extremity numbness. Am J Emerg Med. 1998;16:49–51
  3. Hirst AE, Johns VJ, Kime SW. Dissecting aneurysm of the aorta: a review of 505 cases. Medicine (Baltimore). 1958;37:217–279
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  5. Jamieson WR, Munro AI, Miyagishima RT, Allen P, Tyers GF, Gerein AN. Aortic dissection: early diagnosis and surgical management are the keys to survival. Can J Surg. 1982;25:145–149
  6. Meszaros I, Morocz J, Szlavi J, Schmidt J, Tornoci L, Nagy L, et al. Epidemiology and clinicopathology of aortic dissection. Chest. 2000;117:1271–1278
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  8. Spittell PC, Spittell JA, Joyce JW, Tajik AJ, Edwards WD, Schaff HV, et al. Clinical features and differential diagnosis of aortic dissection: experience with 236 cases (1980 through 1990). Mayo Clin Proc. 1993;68:642–651
  9. Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 2000;283:897–903
  10. Bourland MD. Aortic dissection. In:  Rosen P,  Barkin RM editor. Emergency medicine-concepts and clinical practice. 3rd ed.. St. Louis, MO: Mosby-Year Book Inc; 1992;p. 1384–1390
  11. Zull DN, Cydulka R. Acute paraplegia: a presenting manifestation of aortic dissection. Am J Med. 1988;84:765–770
  12. Rosen SA. Painless aortic dissection presenting as spinal cord ischemia. Ann Emerg Med. 1988;17:840–842
  13. Weisman AD, Adams RD. The neurological complication of dissection aortic aneurysm. Brain. 1944;67:6–91

PII: S1443-9506(07)01115-8

doi: 10.1016/j.hlc.2007.11.139

Heart, Lung and Circulation
Volume 18, Issue 2 , Pages 133-135 , April 2009

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