Ultraschall Med 2006; 27(3): 280-283
DOI: 10.1055/s-2005-858914
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Aortic Arch Dissection Presenting with Hemodynamic Spectrum of Aortic Regurgitation on Transcranial Doppler

Aortenbogendissektion mit dem hämodynamischen Erscheinungsbild der Aorteninsuffizienz im transkraniellen DopplerA. Lovrencic-Huzjan1 , M. J. Jurasic1 , G. Lovrencic-Prpic2 , V. Vukovic1 , V. Demarin1
  • 1Neurology department, University hospital “Sestre milosrdnice”, Referral center for cerebrovascular disorders Croatian Ministry of Health, Zagreb, Croatia
  • 2Radiology department, University hospital “Sestre milosrdnice”, Zagreb, Croatia
Further Information

Publication History

received: 7.4.2005

accepted: 14.9.2005

Publication Date:
10 February 2006 (online)

Zusammenfassung

Die Aortendissektion wird bei der stationären Aufnahme des Patienten häufig übersehen. Neurologische Symptome sind selten, und die Neurosonographie wird selten eingesetzt. Wir schildern den Fall eines Patienten mit atypischen Symptomen einer Aortenbogendissektion, bei dem neurosonographische Untersuchungen das für die Aorteninsuffizienz typische „kathedralenartige” Flussmuster zeigten und dadurch auf die Spur der richtigen Diagnose führten.

Abstract

The diagnosis of aortic dissection is frequently missed at the time of hospital admittance. Neurological presentations are rare, and neuro-sonography is rarely used. We describe a patient with atypical clinical presentation of aortic arch dissection in whom neuro-sonological investigations showed a “cathedral like” haemodynamic spectrum of aortic regurgitation, directing the investigation towards the diagnosis.

Reference

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Arijana Lovrencic-Huzjan

Neurology Department, University hospital “Sestre milosrdnice”

Vinogradska 29

10000 Zagreb, Croatia

Email: arijana.lovrencic-huzjan@zg.htnet.hr