Transient binocular blindness: A rare presentation of aortic dissection

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building INTELEK Repository
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collectionurl https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection407072
date 2018-12-07 11:05:37
format Restricted Document
id 11834
institution UniSZA
originalfilename 6134-01-FH02-FP-18-20226.pdf
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resourceurl https://intelek.unisza.edu.my/intelek/pages/view.php?ref=11834
spelling 11834 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=11834 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection407072 Restricted Document Article Journal application/pdf 5 1.6 Adobe InDesign CS5.5 (7.5) 2018-12-07 11:05:37 Binocular blindness dissecting aneurysm carotid ultrasound emergency department Adobe PDF Library 9.9; modified using iText 4.2.0 by 1T3XT Hong Kong Journal of Emergency Medicine 0.0:1024907918816575 Transient binocular blindness: A rare presentation of aortic dissection 6134-01-FH02-FP-18-20226.pdf Transient binocular blindness: A rare presentation of aortic dissection UniSZA Private Access Transient binocular blindness: A rare presentation of aortic dissection Hong Kong Journal of Emergency Medicine Introduction: Aortic dissection is a clinical chameleon that can have variable presenting features that require a careful history and physical examination. A non-specific presentation of this life-threatening condition causes a diagnostic dilemma among clinicians especially in the emergency department leading to grave consequences. Case Presentation: We present a case of aortic dissection that presented as an acute bilateral blindness that was associated with a sudden onset of loss of consciousness and central chest pain. Bedside carotid ultrasound showed a double lumen carotid artery suggesting an intraluminal flap. Computed tomography angiography revealed extensive dissection of the entire length of the aorta. Discussion: This case illustrated the need for a high index of suspicion to diagnose patients with aortic dissection especially as the patient presented with an acute binocular visual loss and chest pain. Conclusion: A bedside carotid artery ultrasound in the emergency department was found useful in screening and diagnosing a carotid artery–related pathology. 1 1 1-5
spellingShingle Transient binocular blindness: A rare presentation of aortic dissection
subject Hong Kong Journal of Emergency Medicine 0.0:1024907918816575
summary Introduction: Aortic dissection is a clinical chameleon that can have variable presenting features that require a careful history and physical examination. A non-specific presentation of this life-threatening condition causes a diagnostic dilemma among clinicians especially in the emergency department leading to grave consequences. Case Presentation: We present a case of aortic dissection that presented as an acute bilateral blindness that was associated with a sudden onset of loss of consciousness and central chest pain. Bedside carotid ultrasound showed a double lumen carotid artery suggesting an intraluminal flap. Computed tomography angiography revealed extensive dissection of the entire length of the aorta. Discussion: This case illustrated the need for a high index of suspicion to diagnose patients with aortic dissection especially as the patient presented with an acute binocular visual loss and chest pain. Conclusion: A bedside carotid artery ultrasound in the emergency department was found useful in screening and diagnosing a carotid artery–related pathology.
title Transient binocular blindness: A rare presentation of aortic dissection
title_full Transient binocular blindness: A rare presentation of aortic dissection
title_fullStr Transient binocular blindness: A rare presentation of aortic dissection
title_full_unstemmed Transient binocular blindness: A rare presentation of aortic dissection
title_short Transient binocular blindness: A rare presentation of aortic dissection
title_sort transient binocular blindness: a rare presentation of aortic dissection