Painless aortic dissection masquerading as brainstem stroke with catastrophic anticoagulant use - 15/08/11
Doi : 10.1016/j.ajem.2007.04.019
Tung-Yao Tsai, MD a, Ta-Chung Shen, MD c, Chin-Hsiang Chuang, MD c, Yi-Kung Lee, MS, MD c, Chee-Fah Chong, MS, MD a, b, Tzong-Luen Wang, MD, PhD a, b, Vei-Ken Seow, MD a, ⁎ 
a Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan, R.O.C
b School of Medicine, Fu Jen Catholic University, Taiwan
c Emergency Department, Da Lin Buddhist Tzu Chi General Hospital
⁎Corresponding author. Tel.: +886 2 28332211x2087; fax: +886 2 28353547.
Abstract |
Painless aortic dissection with only focal neurological symptoms and signs can be a great challenge to the emergency physician. Inadvertently and erroneous treatment of stroke may threaten patient's life. We present a patient with painless aortic dissection (DeBakey I), which was initially misdiagnosed as brainstem stroke with catastrophic anticoagulant use. Finally, the patient died of multiorgan failure after surgical intervention.
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Elsevier Inc. Tous droits réservés.
Vol 26 - N° 2
P. 253.e1-253.e2 - février 2008 Retour au numéro
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