European Journal of Case Reports in Internal Medicine (Nov 2019)

Aortic Dissection with Haemothorax Mimicking a Stroke

  • Joana Ricardo Pires,
  • Mariana Teixeira,
  • Margarida Ferreira,
  • Clarinda Neves

DOI
https://doi.org/10.12890/2019_001277

Abstract

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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.

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