Aortic arch dissection presenting with hemodynamic spectrum of aortic regurgitation on transcranial Doppler.
The diagnosis of aortic dissection is frequently missed at the time of hospital admittance. Neurological presentations are rare, and neuro-sonography is rarely used. We describe a patient with atypical clinical presentation of aortic arch dissection in whom neuro-sonological investigations showed a "cathedral like" haemodynamic spectrum of aortic regurgitation, directing the investigation towards the diagnosis.
Lovrencic-Huzjan
A
A
Neurology Department, University Hospital "Sestre Milosrdnice", Referral Center for Cerebrovascular Disorders, Croatian Ministry of Health, Zagreb, Croatia. arijana.lovrencic-huzjan@zg.htnet.hr
Jurasic
M J
MJ
Lovrencic-Prpic
G
G
Vukovic
V
V
Demarin
V
V
D000784:Aortic Dissection / Q000000981:diagnostic imaging*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging*; D001015:Aortic Arch Syndromes / Q000000981:diagnostic imaging; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging; D001921:Brain / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D015600:Glasgow Coma Scale; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D017585:Ultrasonography, Doppler, Transcranial