• Ann Emerg Med · May 2023

    Case Reports

    The Man Who Mistook a Hat for His Wife: Case Report of Aortic Dissection Presenting with Acute Hyperfamiliarity for Faces.

    • Andrew J Park, Eric J Reseland, Jonathan A Edlow, and Joshua Ellis.
    • Department of Emergency Medicine, Harvard Affiliated Emergency Medicine Residency, Boston, MA. Electronic address: ajpark@bidmc.harvard.edu.
    • Ann Emerg Med. 2023 May 1; 81 (5): 614617614-617.

    AbstractAcute aortic dissection is a challenging diagnosis for emergency physicians because of its high mortality and wide range of clinical presentations. We report a case of a previously healthy man who presented with hyperfamiliarity for faces syndrome as the predominant symptom of a large type A aortic dissection diagnosed by computed tomography angiography in the emergency department. Different elements of his presentation suggested possible other diagnoses, including transient global amnesia and transient ischemic attack. We discuss how evaluating these other diagnostic possibilities led to the correct diagnosis. Given increasing reports of painless aortic dissection, this case demonstrates the need to consider aortic dissection in patients with acute neurological symptoms.Copyright © 2022 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

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