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Transient binocular blindness: A rare presentation of aortic dissection

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 depart...

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Main Authors: Azizul Fadzli, Wan Jusoh@Ab Rahim, Nik Ahmad Shaiffudin, Nik Him, Rosliza, Yahaya, Nik Arif, Nik Mohamad
Format: Article
Language:English
Published: 2018
Subjects:
R Medicine (General)
Online Access:http://eprints.unisza.edu.my/6134/1/FH02-FP-18-20226.pdf
http://eprints.unisza.edu.my/6134/
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spelling my-unisza-ir.61342022-03-13T03:18:56Z http://eprints.unisza.edu.my/6134/ Transient binocular blindness: A rare presentation of aortic dissection Azizul Fadzli, Wan Jusoh@Ab Rahim Nik Ahmad Shaiffudin, Nik Him Rosliza, Yahaya Nik Arif, Nik Mohamad R Medicine (General) 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. 2018-12 Article PeerReviewed text en http://eprints.unisza.edu.my/6134/1/FH02-FP-18-20226.pdf Azizul Fadzli, Wan Jusoh@Ab Rahim and Nik Ahmad Shaiffudin, Nik Him and Rosliza, Yahaya and Nik Arif, Nik Mohamad (2018) Transient binocular blindness: A rare presentation of aortic dissection. Hong Kong Journal of Emergency Medicine, 1 (1). pp. 1-5. ISSN 2309-5407
institution Universiti Sultan Zainal Abidin
building UNISZA Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sultan Zainal Abidin
content_source UNISZA Institutional Repository
url_provider https://eprints.unisza.edu.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Azizul Fadzli, Wan Jusoh@Ab Rahim
Nik Ahmad Shaiffudin, Nik Him
Rosliza, Yahaya
Nik Arif, Nik Mohamad
Transient binocular blindness: A rare presentation of aortic dissection
description 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.
format Article
author Azizul Fadzli, Wan Jusoh@Ab Rahim
Nik Ahmad Shaiffudin, Nik Him
Rosliza, Yahaya
Nik Arif, Nik Mohamad
author_facet Azizul Fadzli, Wan Jusoh@Ab Rahim
Nik Ahmad Shaiffudin, Nik Him
Rosliza, Yahaya
Nik Arif, Nik Mohamad
author_sort Azizul Fadzli, Wan Jusoh@Ab Rahim
title Transient binocular blindness: A rare presentation of aortic dissection
title_short Transient binocular blindness: A rare presentation of aortic dissection
title_full Transient binocular blindness: A rare presentation of aortic dissection
title_fullStr Transient binocular blindness: A rare presentation of aortic dissection
title_full_unstemmed Transient binocular blindness: A rare presentation of aortic dissection
title_sort transient binocular blindness: a rare presentation of aortic dissection
publishDate 2018
url http://eprints.unisza.edu.my/6134/1/FH02-FP-18-20226.pdf
http://eprints.unisza.edu.my/6134/
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score 13.211869

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