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Unusual association of diseases/symptoms
Unmasking aortic dissection in patients of transient global amnesia: case report and diagnostic algorithm for the emergency department
  1. M Colotto1,
  2. M Maranghi1,
  3. A Epifania2,
  4. M Totaro3,
  5. R Giura2,
  6. C Durante1
  1. 1Department of Clinical Sciences, University of Rome Sapienza-Policlinico Umberto 1, Rome, Italy
  2. 2Emergency Department, University of Rome Sapienza-Policlinico Umberto 1, Rome, Italy
  3. 3Department of Heart and Great Vessels Attilio Reale, University of Rome Sapienza, Rome, Italy
  1. Correspondence to M Colotto, m.colotto{at}


It is not unusual for doctors working in the emergency department (ED) to diagnose a benign syndrome of transient global amnesia (TGA). It is rare that the TGA patient is in danger of life because of a ‘forgotten’ acute aortic dissection (AAD). The present article deals with one of such rare cases of association between TGA and AAD, which presented laboratory findings never reported before. A practical diagnostic algorithm has also been drafted to help ED physicians facing such a puzzling situation.

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  • Competing interests None.

  • Patient consent Obtained.

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