Aortic dissection presenting as spinal cord ischemia with a false-negative aortogram.
This article presents a case of type III aortic dissection presenting as a spinal cord syndrome with a prospectively negative initial aortogram. The patient serendipitously illustrates a multimodality approach to aortic dissection imaging. The advantages and disadvantages of conventional radiography, aortography, computed tomography, echocardiography, and magnetic resonance imaging are discussed.
Strouse
P J
PJ
Department of Radiology, University of Michigan Medical School, Ann Arbor.
Shea
M J
MJ
Guy
G E
GE
Santinga
J T
JT
D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000503:physiopathology; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging* / Q000503:physiopathology; D003951:Diagnostic Errors; D004452:Echocardiography; D005188:False Negative Reactions; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013116:Spinal Cord / Q000098:blood supply*; D014057:Tomography, X-Ray Computed