Aortic Dissection with Haemothorax Mimicking a Stroke

  • Joana Ricardo Pires Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  • Mariana Teixeira Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  • Margarida Ferreira Radiology Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  • Clarinda Neves Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal

Keywords

Aortic dissection, stroke, haemothorax, emergency medicine

Abstract

Aortic dissection is a life-threatening clinical emergency and a challenging diagnosis. Depending on its initial location, it may present with several symptoms with the most common being chest pain. We describe the case of a 62-year-old man admitted to the Emergency Department with acute neurological deficits and triaged for the stroke protocol. After unexpected findings on physical examination, other diagnostic hypotheses were evaluated, culminating in the diagnosis of aortic dissection with haemothorax mimicking a stroke.

VIEW THE ENTIRE ARTICLE

References

  • Asouhidou I, Asteri T. Acute aortic dissection: be aware of misdiagnosis. BMC Res Notes 2009;2:25.

  • Alter SM, Eskin B, Allegra JR. Diagnosis of aortic dissection in emergency department patients is rare. West J Emerg Med 2015;16(5):629–631.

  • Deniz T, Dag E, Tulmac M, Azapoglu B, Alp C. What lies behind the ischemic stroke: aortic dissection? Case Rep Emerg Med 2014;2014:468295.

  • Pastuszak Ż, Stępień A, Kordowska J, Rolewska A, Galbarczyk D. Brain strokes related to aortic aneurysma - the analysis of three cases. Open Med (Wars) 2017;12:58–61.

  • Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM, Bambakidis NC, Becker K, et al. 2018 Guidelines for the Early Management of Patients with Acute Ischemic Stroke: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. Stroke 2018;49:e46–110.

  • The Stroke Foundation. Clinical Guidelines for Stroke Management 2017. Melbourne; 2017.

  • Koga M, Iguchi Y, Ohara T, Tahara Y, Fukuda T, Noguchi T, et al. Acute ischemic stroke as a complication of Stanford type A acute aortic dissection: a review and proposed clinical recommendations for urgent diagnosis. Gen Thorac Cardiovasc Surg 2018;66:439–445.

  • Chermiti F, Abdallah B, Gharsalli H, Kwas H, Taktak S, Chtourou A, et al. Hemothorax revealing aortic aneurism and aortic dissection. Open J Respir Dis 2013;3:113–115.
  • Published: 2019-11-04

    Issue: LATEST ONLINE (view)

    Section: Articles

    How to cite:
    Pires, J., Teixeira, M., Ferreira, M., & Neves, C. (2019). Aortic Dissection with Haemothorax Mimicking a Stroke. European Journal of Case Reports in Internal Medicine, 2. https://doi.org/https://doi.org/10.12890/2019_001277

    Most read articles by the same author(s)