Abstract
Presentation of aortic dissection with neurological manifestation is uncommon and the prognosis of this disease must be guarded. We here report a case of 40-year-old man who underwent an emergency operation with ascending aorta replacement under the diagnosis of transient paraplegia with acute aortic dissection(type A). He had the history of hypertrophic cardiomyopathy with left ventricular dysfunction. It was most likely that our patient had ischemia to spinal cord following aortic dissection. On awakening from anesthesia, he was found to be flaccidity and hypersensitive of left lower extremity and dysuria. Nevertheless, he showed steady improvement with return of his neurological function and 83 days after the operation he walked from the hospital with little remaining neurological symptoms or signs.
