Gerber O, Heyer E J, Vieux U
Stroke. 1986 Jul-Aug;17(4):644-7. doi: 10.1161/01.str.17.4.644.
We describe three patients who had painless dissections of the aorta which resulted in neurologic syndromes at the time of presentation. Two patients had acute hemimotor and sensory findings. In one of these cases progression to paraplegia occurred. In a third patient, acute weakness and ischemia of a leg occurred at presentation. We review previously described painless aortic dissections. Such aortic dissections may be suspected in the setting of an acute neurologic event by abnormalities in the examination of the peripheral pulses and the heart and by attention to characteristic chest x-ray changes.
我们描述了三名患者，他们在就诊时发生了无痛性主动脉夹层，导致了神经综合征。两名患者有急性半身运动和感觉异常。其中一例进展为截瘫。第三名患者在就诊时出现了腿部急性无力和缺血。我们回顾了先前描述的无痛性主动脉夹层。在急性神经事件的情况下，通过外周脉搏和心脏检查异常以及关注特征性胸部X线改变，可能怀疑存在此类主动脉夹层。
