Aortic dissection presenting as crossed hemiparesis.
BACKGROUND
Aortic dissection is frequently associated with ischemic stroke; however, a high clinical suspicion is necessary when the presentation is atypical.


METHODS
We present the atypical clinical picture of De Bakey type I (Stanford A) aortic dissection which presented as crossed hemiparesis in a 52-year-old previously healthy woman.


CONCLUSIONS
This case emphasizes the need for assessing pulsations of peripheral arteries on both arms and both legs in the context of acute stroke as this could lead to the diagnosis of acute aortic dissection.
Pikija
Slaven
S
Departmens of Neurology, Varazdin General Hospital, HR-42000 Varazdin, Croatia. spikija@gmail.com
Cvetko
Danijel
D
Kostanjevec
Ruza
R
Car
Sinisa
S
D000792:Angiography; D001018:Aortic Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D010291:Paresis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed