Painless aortic dissection masquerading as brainstem stroke with catastrophic anticoagulant use.
Painless aortic dissection with only focal neurological symptoms and signs can be a great challenge to the emergency physician. Inadvertently and erroneous treatment of stroke may threaten patient's life. We present a patient with painless aortic dissection (DeBakey I), which was initially misdiagnosed as brainstem stroke with catastrophic anticoagulant use. Finally, the patient died of multiorgan failure after surgical intervention.
Tsai
Tung-Yao
TY
Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan, ROC.
Seow
Vei-Ken
VK
Shen
Ta-Chung
TC
Chuang
Chin-Hsiang
CH
Lee
Yi-Kung
YK
Chong
Chee-Fah
CF
Wang
Tzong-Luen
TL
D000784:Aortic Dissection / Q000175:diagnosis*; D000925:Anticoagulants / Q000009:adverse effects*; D001014:Aortic Aneurysm / Q000175:diagnosis*; D020526:Brain Stem Infarctions / Q000175:diagnosis*; D003951:Diagnostic Errors; D017809:Fatal Outcome; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged
D000925:Anticoagulants