The most common presenting symptom of aortic dissection is chest pain - headache as the initial manifestation is rare. We report a patient with a history of hypertension who presented with severe bifrontal headache, and was found to have an acute aortic dissection in the absence of carotid artery dissection. A discussion of the atypical presentation and possible pathophysiology follows.
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ALBERT EINSTEIN MED CTR, NO DIV, NO DIV, CARDIOL SECT, PHILADELPHIA, PA 19141 USAALBERT EINSTEIN MED CTR, NO DIV, NO DIV, CARDIOL SECT, PHILADELPHIA, PA 19141 USA
STEVER, SW
PARAMESWARAN, R
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ALBERT EINSTEIN MED CTR, NO DIV, NO DIV, CARDIOL SECT, PHILADELPHIA, PA 19141 USAALBERT EINSTEIN MED CTR, NO DIV, NO DIV, CARDIOL SECT, PHILADELPHIA, PA 19141 USA
PARAMESWARAN, R
GOLDSHLACK, P
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ALBERT EINSTEIN MED CTR, NO DIV, NO DIV, CARDIOL SECT, PHILADELPHIA, PA 19141 USAALBERT EINSTEIN MED CTR, NO DIV, NO DIV, CARDIOL SECT, PHILADELPHIA, PA 19141 USA
GOLDSHLACK, P
GOLDBERG, H
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ALBERT EINSTEIN MED CTR, NO DIV, NO DIV, CARDIOL SECT, PHILADELPHIA, PA 19141 USAALBERT EINSTEIN MED CTR, NO DIV, NO DIV, CARDIOL SECT, PHILADELPHIA, PA 19141 USA
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Case Western Reserve Univ, St Vincent Char Med Ctr, Cleveland, OH 44106 USACase Western Reserve Univ, St Vincent Char Med Ctr, Cleveland, OH 44106 USA
Kadri, Amer N.
Malik, Muhammad Raihan
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Case Western Reserve Univ, St Vincent Char Med Ctr, Cleveland, OH 44106 USACase Western Reserve Univ, St Vincent Char Med Ctr, Cleveland, OH 44106 USA
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Bristol Royal Infirm & Gen Hosp, Sir Humphry Davy Dept Anaesthesia, Bristol, Avon, EnglandBristol Royal Infirm & Gen Hosp, Sir Humphry Davy Dept Anaesthesia, Bristol, Avon, England
Lewis, S
Ryder, I
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Bristol Royal Infirm & Gen Hosp, Sir Humphry Davy Dept Anaesthesia, Bristol, Avon, EnglandBristol Royal Infirm & Gen Hosp, Sir Humphry Davy Dept Anaesthesia, Bristol, Avon, England
Ryder, I
Lovell, AT
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Bristol Royal Infirm & Gen Hosp, Sir Humphry Davy Dept Anaesthesia, Bristol, Avon, EnglandBristol Royal Infirm & Gen Hosp, Sir Humphry Davy Dept Anaesthesia, Bristol, Avon, England