›› 2013, Vol. 33 ›› Issue (3): 383-.doi: 10.3969/j.issn.1674-8115.2013.03.027

• Case report • Previous Articles    

One case report of painless aortic dissection with consciousness disorders as initial symptom

YIN Gui-zhi, SHI Lu-dong, LU Yi, JIN Xian, ZHANG Da-dong   

  1. Department of Cardiology, Minhang District Central Hospital, Ruijin Hospital Group, Shanghai 201199, China
  • Online:2013-03-28 Published:2013-03-29


One old male patient was admitted to the hospital due to “consciousness disorders for 20 h”, with no presentation of chest distress, chest pain and abdominal pain. Emergency MRI demonstrated subacute focal infarction of left temporal-parietal gyri, physical examinations revealed the asymmetric blood pressure of  bilateral upper extremities, and aortic dissection was indicated by chest enhanced CT. Therefore, careful analysis of clinical manifestations and early diagnosis are important for treatment of aortic dissection among those with cerebral infarction as main presentation.

Key words: consciousness disorders, aortic dissection, cerebral infarction