right lower extremity numbness- an atypical presentation of acute aortic dissection

Acute aortic dissection (aad) is one of the most challenging and emergency conditions in the health care system. it`s associated with high mortality. a 55-year-old person was admitted to the emergency department due to numbness of his right leg. the patient had no complaints of chest pain on arrival. however, echocardiography revealed aortic dissection and computed tomography (ct) scan confirmed the diagnosis. the patient was immediately referred to rajaei hospital for further specialized procedures. he went into the operating room directly and had a successful operation of aortic dissection repair. rarely aad has atypical manifestation and may have unusual clinical presentations. thus, it could cause a delay in establishment of diagnosis of this emergent condition. the purpose of this report was to introduce a rare initial presentation of an atypical aortic dissection.