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Case Reports
. 2024 Aug 26;16(8):e67839.
doi: 10.7759/cureus.67839. eCollection 2024 Aug.

Transient Neurological Deficits in a Patient With Prior DeBakey Type 1 Aortic Dissection

Mehak Sharma  1 , Adam Daren  2 , Elizma Pretorius  2 , Leila Keeler  3 , Ilya Fonarov  4   5
Affiliations
Case Reports

Transient Neurological Deficits in a Patient With Prior DeBakey Type 1 Aortic Dissection

Mehak Sharma et al. Cureus. .

Abstract

Aortic dissection is a life-threatening emergency that occurs when the aortic wall layers are separated. It is important to recognize that aortic dissections can have an atypical presentation with neurological deficits and not typical findings of chest pain or thoracic symptoms. Our patient presented with headache, vertigo, and transient neurologic deficits. However, imaging revealed no acute stroke. Our patient had a prior history of DeBakey type 1 aortic dissection repaired four years before. Imaging did not demonstrate an acute aortic dissection however there was an increase in size of the aneurysmal components. However, it is unclear if this contributed to the transient neurological deficits. Further research is needed to determine if there is a correlation between aortic aneurysmal enlargement and transient neurological deficits.

Keywords: aortic; debakey; dissection; emergency; stroke.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. CTA scan axial images of the upper abdomen with a repaired DeBakey type 1 dissection. Arrows indicate the false lumen of the dissection
CTA: computed tomography angiography
Figure 2
Figure 2. CTA axial image of the middle abdomen with a repaired DeBakey type 1 dissection. Arrows indicate the false lumen of the dissection
CTA: computed tomography angiography
Figure 3
Figure 3. CTA of the abdomen and pelvis coronal image showing an alternative view of the repaired DeBakey type 1 dissection. Arrows indicate the false lumen of the dissection
CTA: computed tomography angiography
Figure 4
Figure 4. CTA of the abdomen and pelvis sagittal image with a repaired DeBakey type 1 dissection
CTA: computed tomography angiography
See this image and copyright information in PMC

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