Aortic dissection presenting as left leg numbness and paralysis

Another International Registry of Aortic Dissections review showed only 3% presenting with spinal cord ischemia and 2% presenting with ischemic peripheral neuropathy [8]. When the ED physician presented to reassess the patient for discharge, almost 30 hours after his arrival, it was then that a mild...

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Veröffentlicht in:	The American journal of emergency medicine 2010-11, Vol.28 (9), p.1063.e7-1063.e8
Hauptverfasser:	Barbic, David, MD, MSc, Grad, Will, MD, CM
Format:	Artikel
Sprache:	eng
Schlagworte:	Aneurysm, Dissecting - complications Aneurysm, Dissecting - diagnosis Aneurysm, Dissecting - diagnostic imaging Aortic Aneurysm, Thoracic - complications Aortic Aneurysm, Thoracic - diagnosis Aortic Aneurysm, Thoracic - diagnostic imaging Back pain Dissection Emergency Emergency medical care Humans Hypesthesia - etiology Intensive care Ischemia Leg Magnetic Resonance Imaging Male Medical diagnosis Medical imaging Middle Aged Paralysis - etiology Radiography Tomography Veins & arteries
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Zusammenfassung:	Another International Registry of Aortic Dissections review showed only 3% presenting with spinal cord ischemia and 2% presenting with ischemic peripheral neuropathy [8]. When the ED physician presented to reassess the patient for discharge, almost 30 hours after his arrival, it was then that a mild component of chest pain was elicited from the history which either preceded or was closely temporally related to the back pain and leg symptoms.
ISSN:	0735-6757 1532-8171
DOI:	10.1016/j.ajem.2010.01.034