title: Type A aortic dissection presenting with isolated paraplegia.
abstract: Acute type A thoracic aortic dissections most commonly present with sudden onset of severe chest and/or back pain. We summarize the case of a patient with an acute type A dissection who presented with acute, painless paraplegia caused by malperfusion of the artery of Adamkiewicz. Although an uncommon cause of acute paraplegia, type A dissections should be included in the differential diagnosis.
authors.affiliation: Department of Surgery, Division of Cardiothoracic Surgery, Henry Ford Hospital, Heart and Vascular Institute, Detroit, MI 48202, USA.
authors.forename: Athanasios
authors.initials: A
authors.lastname: Tsiouris
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Morgan
authors.forename: Gaetano
authors.initials: G
authors.lastname: Paone
mesh_terms: D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D016896:Treatment Outcome