Clinical features of type A aortic dissection initially presenting with neurological symptoms: a single-center case series

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Type A aortic dissection (TAAD) can present with neurological symptoms, often mimicking acute stroke, leading to misdiagnosis.
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In a study of 23 patients, the most common neurological symptoms were altered consciousness (65.2%) and limb weakness (56.5%).
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Only 21.7% of patients reported chest or back pain, complicating the diagnosis of TAAD.
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The in-hospital mortality rate for patients with TAAD presenting with neurological symptoms was 65.2%, with a long-term survival rate of 17.4%.
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Elevated D-dimer levels and atypical neurological features may indicate TAAD in patients without typical chest pain.

Frontiers In Neurology

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