Aortic dissection presenting as uniocular blindness.
A patient presented with uniocular blindness and headache, which was initially suspected to be subarachnoid hemorrhage. The patient had a seven-year history of diabetes mellitus, hypertension and hypothyroidism, as well as a two-year history of congestive cardiac failure with aortic regurgitation. Upon autopsy, the patient was diagnosed with aortic dissection. There are no other known reports of such a presentation. This case demonstrates that aortic dissection can present without any classical features, and hence it is important to consider the possibility of dissection in patients with long-standing hypertension and acute neurologic symptoms associated with pain.
Ramaraj
Radhakrishnan
R
Department of Internal Medicine, Llandudno Hospital, University of Arizona, Tucson, AZ 85724, USA. drkutty2@gmail.com
O'Beirn
Diarmuid
D
Bracewell
R Martyn
RM
D000368:Aged; D000784:Aortic Dissection / Q000150:complications*; D001014:Aortic Aneurysm / Q000150:complications*; D001766:Blindness / Q000209:etiology*; D048909:Diabetes Complications; D017809:Fatal Outcome; D006261:Headache / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000150:complications; D007037:Hypothyroidism / Q000150:complications; D008297:Male