Cao Gui-fang, Bi Qi, Cao Li
Department of Neurology, Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing 100029, China.
Zhonghua Nei Ke Za Zhi. 2013 May;52(5):400-2.
To summarize the characteristics of neurological symptoms in patients with aortic dissection.
The clinical data including symptoms, signs, and imaging of 865 consecutive patients with aortic dissection were analyzed retrospectively.
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.
Neurological symptoms are common in patients with aortic dissection,especially in those with type A aortic dissection.
总结主动脉夹层患者的神经症状特点。
回顾性分析865例连续性主动脉夹层患者的临床资料，包括症状、体征及影像学表现。
225例（26.0%）主动脉夹层患者出现神经症状。最常见的症状为头晕（56例，6.5%），其次为晕厥（49例，5.7%）、单下肢感觉障碍（47例，5.4%）、单下肢无力（27例，3.1%）、昏迷（22例，2.5%）、截瘫（19例，2.2%）、头痛（13例，1.5%）和偏瘫（9例，1.0%）。5例患者以神经症状为首发表现，包括晕厥（2例）、头晕（1例）和头痛（2例）。A型主动脉夹层患者比B型主动脉夹层患者更容易出现神经症状（34.6%对14.7%），且晕厥、昏迷、偏瘫、截瘫和下肢感觉障碍的发生率明显更高。
神经症状在主动脉夹层患者中很常见，尤其是在A型主动脉夹层患者中。
