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Painless dissection of the thoracic aorta
Authors:W R Greenwood  M D Robinson
Institution:1. Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China;2. Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China;3. Shanghai Key Laboratory of Radiation Oncology, Shanghai 200032, China;1. Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea;2. Neuroscience Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea;3. Department of Neurology, College of Medicine, Gyeongsang University Hospital, Republic of Korea;1. Department of Pharmacology and Therapeutics, the University of Melbourne, Victoria 3010, Australia;2. Florey Institute of Neuroscience and Mental Health, the University of Melbourne, Victoria 3010, Australia;3. Cell and Molecular Biology, QIMR Berghofer Medical Research Institute, Queensland 4006, Australia
Abstract:A 64-year-old man presented to an emergency department with a two-week history of intermittent, bilateral lower extremity paralysis without associated chest, abdominal, or back pain. He subsequently deteriorated and died as a result of a thoracic aortic dissection. This unusual case is reported, and the pathophysiology, diagnosis, and management of aortic dissection are discussed.
Keywords:
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