A Case of Painless Aortic Dissection Presenting Transient Ischemic Attack

J Korean Neurol Assoc > Volume 19(5); 2001 > Article

Journal of the Korean Neurological Association 2001;19(5): 526-528.

일과성 뇌허혈로 나타난 무통성 대동맥박리 1예

김은기, 김정연 김진태 이구은

인제대학교 의과대학 신경과학교실,상계백병원 신경과

A Case of Painless Aortic Dissection Presenting Transient Ischemic Attack

Eun-Ki Kim, M.D., Jeong-Yeon Kim, M.D., Jin-Tae Kim, M.D., Ku-Eun Lee, M.D.

Department of Neurology, College of medicine, Inje University, Sanggye Paik Hospital

Abstract

"A 34-year old man presented with syncope, a transient right lower extremity weakness and positional blindness of the left eye. Upon admission, the patients pulse and blood pressure was checked asymmetrically on both sides. A CT and MRI revealed no active lesions. A few days later, the patient was administered a diagnostic coronary-aortic angiogram to evaluate his cardiovascular system. A severe aortic dissection was revealed on the angiogram and an emergency operation for the dissection was done.We report a case of painless aortic dissection as a manifestation of TIA. J Korean Neurol Assoc 19(5):526~528, 2001 Key Words : Aortic dissection, TIA"