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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2018, Number 1

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An Med Asoc Med Hosp ABC 2018; 63 (1)

Aortic dissection with neurological manifestations

Tapia IEX, Paz CDC, Sánchez CA, Ochoa MX

Language: Spanish
References: 18
Page: 59-63
PDF size: 185.22 Kb.


ABSTRACT

Aortic dissection is a rare entity with high mortality. This pathology results from rupture of the intima, which causes a spread and subsequent rupture of the media, or the formation of an intramural hemorrhage and a hematoma, followed by the perforation of the intima. It has been documented that up to 29% of the cases present a neurological symptom, the cerebral vascular event being one of the most frequent complications, although there is a risk of not diagnosing the aortic dissection since two thirds of these patients do not report symptoms suggestive of it. The objective is to perform an adequate diagnostic approach in the emergency room, taking into account that neurological manifestations in patients with comorbidities can have masked acute aortic syndromes.


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