title: Temporoparietal Headache as the Initial Presenting Symptom of a Massive Aortic Dissection.
abstract: Aortic dissection is a life-threatening medical emergency often presenting with severe chest pain and acute hemodynamic compromise. The presentation of aortic dissection can sometimes be different thus leading to a challenge in prompt diagnosis and treatment as demonstrated by the following presentation and discussion. We present a case of a 71-year-old male who presented to the emergency department with complaints of left sided temporoparietal headache and was eventually diagnosed with a thoracic aortic dissection involving the ascending aorta and descending aorta, with an intramural hematoma in the descending aorta. This case illustrates the importance of keeping in mind aortic dissection as a differential diagnosis in patients with acute onset headaches in which any intracranial source of headache is not found.
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Manan
authors.initials: M
authors.lastname: Parikh
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Abhinav
authors.identifier: 0000-0003-1080-6449
authors.initials: A
authors.lastname: Agrawal
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Braghadheeswar
authors.initials: B
authors.lastname: Thyagarajan
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Sayee Sundar
authors.initials: SS
authors.lastname: Alagusundaramoorthy
authors.affiliation: Department of Emergency Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: James
authors.initials: J
authors.lastname: Martin