Pearls &amp; Oy-sters: Ophthalmic artery malperfusion in aortic dissection with common carotid artery involvement

Kumar, Varsha; Sandhu, Harleen K.; Meyer, Ana-Claire; Azizzadeh, Ali; Estrera, Anthony L.; Safi, Hazim J.; Charlton-Ouw, Kristofer M.

doi:10.1212/wnl.0000000000001208

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…Kumar et al described two cases of AD presenting with monocular blindness of the right eye. Both reported CT scan findings that revealed an AD extending from ascending aorta to the right common carotid artery 7 . Our patient presented with a history of loss of consciousness.…”

Section: Discussionmentioning

confidence: 67%

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Transient binocular blindness: A rare presentation of aortic dissection

Shaharudin

Hamid

Yahaya

et al. 2018

Hong Kong Journal of Emergency Medicine

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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.

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Section: Discussionmentioning

confidence: 67%

“…Both reported CT scan findings that revealed an AD extending from ascending aorta to the right common carotid artery. 7 Our patient presented with a history of loss of consciousness. Up to 13% of patient with AD may present with syncope due to symptoms of transient cerebral hypoperfusion.…”

Section: Discussionmentioning

confidence: 87%

Transient binocular blindness: A rare presentation of aortic dissection

Shaharudin

Hamid

Yahaya

et al. 2018

Hong Kong Journal of Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…[4]. Die klinische Manifestation in Form einer Amaurosis fugax ist selten [5]. Die qualifizierte neurologische Ultraschalldiagnostik stellt eine sensitive Methode zur Erfassung entsprechender Beteiligung supraaortaler Gefäße dar und sollte daher in Analogie zur Diagnostik einer Amaurosis fugax zum festen Bestandteil der Diagnostik bei der Versorgung von Patienten mit Aortendissektionen gehören [6].…”

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Rezidivierende Amaurosis fugax nach Aortendissektion (Stanford Typ A)

2016

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Pearls & Oy-sters: Ophthalmic artery malperfusion in aortic dissection with common carotid artery involvement

Cited by 2 publications

References 5 publications

Transient binocular blindness: A rare presentation of aortic dissection

Transient binocular blindness: A rare presentation of aortic dissection

Rezidivierende Amaurosis fugax nach Aortendissektion (Stanford Typ A)

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