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Neurological symptoms occurring in the context of ruptured abdominal aortic aneurysm: a paramedic’s perspective
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  • Published on:
    Re: Confusion over rupture and dissection
    • David Fitzpatrick, Paramedic/Research and Development Officer
    • Other Contributors:
      • Dr Donogh Maguire, Emergency Medicine Consultant

    Reply to confusion of Rupture and Dissection

    We thank Dr Reid for his comments regarding the above paper. The case described related to a seventy-three year old gentleman who was found sitting at the wheel of his car in a collapsed state with a left-sided hemiplegia. The patient was found to regain full power of his left side when laid flat. This postural alteration in his neurological symptoms was the point o...

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    Conflict of Interest:
    None declared.
  • Published on:
    Confusion over rupture and dissection

    The authors of the above paper, whilst admirably attempting to highlight the well recognised presentation of a dissecting aorta with neurological symptoms, have unfortunately confused two very distinct diseases with two very different distinct pathologies; those of a ruptured abdominal aneurysm and a dissecting thoracic aorta.

    The abdominal aorta is prone to aneurysmal dilatation, which can rupture spontaneously...

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    Conflict of Interest:
    None declared.