Kaeley Nidhi, Gangdev Anand, Galagali Santosh S, Kabi Ankita, Shukla Krishna
Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Anesthesiology, All India Institute of Medical Sciences, Gorakhpur, Gorakhpur, IND.
Cureus. 2022 Jul 25;14(7):e27236. doi: 10.7759/cureus.27236. eCollection 2022 Jul.
In the absence of prompt diagnosis and treatment, aortic dissection is an extremely dangerous and often fatal medical condition, of which acute coronary syndrome, stroke, limb ischemia, pulmonary embolism, and acute mesenteric ischemia are all possible manifestations. Neurological manifestations of aortic dissection are often missed at presentation. We report a case of a 23-year-old female without any prior characteristics of connective tissue disorder presenting to the emergency department with headache and right upper limb weakness and the utility of bedside point-of-care ultrasound (POCUS) for diagnosing aortic dissection.
在缺乏及时诊断和治疗的情况下,主动脉夹层是一种极其危险且通常致命的病症,急性冠状动脉综合征、中风、肢体缺血、肺栓塞和急性肠系膜缺血都是其可能的表现形式。主动脉夹层的神经学表现常在就诊时被漏诊。我们报告一例23岁女性病例,该患者无任何结缔组织病既往特征,因头痛和右上肢无力就诊于急诊科,以及床旁即时超声(POCUS)在诊断主动脉夹层中的作用。