[The clinical analysis of neurological symptoms in patients with aortic dissection].
OBJECTIVE
To summarize the characteristics of neurological symptoms in patients with aortic dissection.


METHODS
The clinical data including symptoms, signs, and imaging of 865 consecutive patients with aortic dissection were analyzed retrospectively.


RESULTS
Neurological symptoms occurred in 225 cases (26.0%) with aortic dissection. The most common symptom was dizziness (56 cases, 6.5%), followed by syncope (49, 5.7%), single lower limb sensory disturbances (47, 5.4%), single lower extremity weakness (27, 3.1%), coma (22, 2.5%), paraplegia (19, 2.2%), headache (13,1.5%) and hemiplegia (9,1.0%). The first manifestation of five cases was the neurological symptoms, including syncope (2), dizziness (1) and headache (2). Patients with type A aortic dissection were more vulnerable to the neurological symptoms than those with type B aortic dissection (34.6% vs 14.7%), and the symptoms with significantly higher occurrence were syncope, coma, hemiplegia, paraplegia and lower limb sensory disturbances.


CONCLUSIONS
Neurological symptoms are common in patients with aortic dissection,especially in those with type A aortic dissection.
Department of Neurology, Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing 100029, China.
Gui-fang
GF
Cao
Qi
Q
Bi
Li
L
Cao
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000175:diagnosis*; D001014:Aortic Aneurysm / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000175:diagnosis* / Q000473:pathology; D012189:Retrospective Studies; D055815:Young Adult