- Academic Editor
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Background: The aim of this study was to determine the clinical
characteristics and outcome of patients with aortic dissection (AD) who present
with an initial manifestation of cerebral infarction. Methods: We
retrospectively analyzed patients who were diagnosed with AD and admitted to the
emergency department from May 1, 2017 to May 1, 2022. Data was collected for
variables including age, sex, clinical manifestation, past medical history, and
laboratory test results. Results: Twenty-five patients (2.61%, 22 type
A and 3 type B) showed cerebral infarction as the primary presentation for acute
AD, while another 933 AD patients (471 type A and 462 type B) who presented with
other symptoms served as the control group. Eighteen of the 25 patients (72%)
were initially diagnosed with stroke, and the diagnosis of AD was missed.
However, patients with a missed diagnosis of AD did not have significantly
different mortality to those in whom AD was diagnosed (chi-square test,
p