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Aortic Dissection in a Young Woman: A Painless Presentation With Stroke-Like Symptoms and Horner’s Syndrome

Year: 2025

Type: article

Abstract: Aortic dissection is a rare cardiovascular emergency that can present atypically, complicating diagnosis and management. We report the case of a woman in her 30s with Stanford Type A aortic dissection, presenting with stroke-like symptoms and Horner's syndrome without chest pain. Initial management focused on her neurological deficits, delaying the diagnosis. Bedside echocardiography and confirmatory imaging ultimately revealed an extensive dissection. Despite medical management, the patient succumbed to her condition. This case underscores the importance of recognizing atypical presentations of aortic dissection to enable timely diagnosis and improve outcomes.

Source: Cureus

DOI: 10.7759/cureus.85764

Authors: Blake Edwards, Anita M Medepalli, Muhammad Khan

Institutions: Mercer University, Navicent Health

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4411210452