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Case Reports in Emergency Medicine
Volume 2015 (2015), Article ID 626825, 4 pages
Case Report

Temporoparietal Headache as the Initial Presenting Symptom of a Massive Aortic Dissection

1Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA
2Department of Emergency Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA

Received 25 March 2015; Revised 18 April 2015; Accepted 20 April 2015

Academic Editor: Kazuhito Imanaka

Copyright © 2015 Manan Parikh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aortic dissection is a life-threatening medical emergency often presenting with severe chest pain and acute hemodynamic compromise. The presentation of aortic dissection can sometimes be different thus leading to a challenge in prompt diagnosis and treatment as demonstrated by the following presentation and discussion. We present a case of a 71-year-old male who presented to the emergency department with complaints of left sided temporoparietal headache and was eventually diagnosed with a thoracic aortic dissection involving the ascending aorta and descending aorta, with an intramural hematoma in the descending aorta. This case illustrates the importance of keeping in mind aortic dissection as a differential diagnosis in patients with acute onset headaches in which any intracranial source of headache is not found.