title: Aortic arch dissection presenting with hemodynamic spectrum of aortic regurgitation on transcranial Doppler.
abstract: 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.
authors.affiliation: Neurology Department, University Hospital "Sestre Milosrdnice", Referral Center for Cerebrovascular Disorders, Croatian Ministry of Health, Zagreb, Croatia. arijana.lovrencic-huzjan@zg.htnet.hr
authors.forename: A
authors.initials: A
authors.lastname: Lovrencic-Huzjan
authors.forename: M J
authors.initials: MJ
authors.lastname: Jurasic
authors.forename: G
authors.initials: G
authors.lastname: Lovrencic-Prpic
authors.forename: V
authors.initials: V
authors.lastname: Vukovic
authors.forename: V
authors.initials: V
authors.lastname: Demarin
mesh_terms: 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