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{
    "pk": 1421,
    "title": "The Other Aortic Syndrome–Intramural Hematoma and Neurological Deficit: Case Report",
    "subtitle": null,
    "abstract": "<b>Introduction:</b> Acute thoracic aortic syndromes are among the most concerning presentations in emergency medicine and are associated with significant morbidity and mortality. Thoracic aortic dissection is most common, followed by penetrating aortic ulcer and, least commonly, intramural hematoma.<p></p><p><b><b>Case Report:</b> </b>A 67-year-old woman presented to the emergency department with chest and back pain, and sudden onset of paraparesis. Aortic intramural hematoma was diagnosed, and she underwent spinal drain placement with blood pressure control to optimize spinal cord perfusion.</p><p></p><p><b><b><b>Discussion:</b> </b></b>When neurological deficits are present, rapid diagnosis of spinal ischemia and blood pressure optimization is vital. Spinal drains may be considered as an adjunctive treatment.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "aortic syndrome"
        },
        {
            "word": "spinal cord inschemia"
        },
        {
            "word": "spinal drain"
        },
        {
            "word": "paraparesis"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4qw9x3hn",
    "frozenauthors": [
        {
            "first_name": "Laura",
            "middle_name": "E.",
            "last_name": "Walker",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota",
            "department": ""
        },
        {
            "first_name": "Chris",
            "middle_name": "",
            "last_name": "Marcellino",
            "name_suffix": "",
            "institution": "Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota; Department of Neurologic Surgery, Mayo Clinic Health System Eau Claire, Eau Claire, Wisconsin",
            "department": ""
        },
        {
            "first_name": "Bhargavi",
            "middle_name": "",
            "last_name": "Gali",
            "name_suffix": "",
            "institution": "Division of Intensive Care and Respiratory Therapy, Mayo Clinic, Rochester, Minnesota; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota",
            "department": ""
        }
    ],
    "date_submitted": "2023-05-31T18:41:13.355000Z",
    "date_accepted": "2023-09-16T11:52:16.461000Z",
    "date_published": "2023-12-28T14:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1421/galley/3863/download/"
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        {
            "label": "Final Article",
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}