Painless aortic dissection masquerading as brainstem stroke with catastrophic anticoagulant use☆
Affiliations
- Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan, R.O.C
Affiliations
- Emergency Department, Da Lin Buddhist Tzu Chi General Hospital
Affiliations
- Emergency Department, Da Lin Buddhist Tzu Chi General Hospital
Affiliations
- Emergency Department, Da Lin Buddhist Tzu Chi General Hospital
Affiliations
- Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan, R.O.C
- School of Medicine, Fu Jen Catholic University, Taiwan
Affiliations
- Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan, R.O.C
- School of Medicine, Fu Jen Catholic University, Taiwan
Affiliations
- Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan, R.O.C
Correspondence
- Corresponding author. Tel.: +886 2 28332211x2087; fax: +886 2 28353547.

Affiliations
- Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan, R.O.C
Correspondence
- Corresponding author. Tel.: +886 2 28332211x2087; fax: +886 2 28353547.

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Fig. 1
DeBakey I aortic dissection.
Abstract
Painless 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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☆I hereby grant, on behalf of all authors, an exclusive license on a worldwide basis to the American Journal of Emergency Medicine (ifaccepted).
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