• Am J Emerg Med · Feb 2008

    Case Reports

    Painless aortic dissection masquerading as brainstem stroke with catastrophic anticoagulant use.

    • Tung-Yao Tsai, Vei-Ken Seow, Ta-Chung Shen, Chin-Hsiang Chuang, Yi-Kung Lee, Chee-Fah Chong, and Tzong-Luen Wang.
    • Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan, ROC.
    • Am J Emerg Med. 2008 Feb 1; 26 (2): 253.e1253.e2532253.e1-2.

    AbstractPainless aortic dissection with only focal neurological symptoms and signs can be a great challenge to the emergency physician. Inadvertently and erroneous treatment of stroke may threaten patient's life. We present a patient with painless aortic dissection (DeBakey I), which was initially misdiagnosed as brainstem stroke with catastrophic anticoagulant use. Finally, the patient died of multiorgan failure after surgical intervention.

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