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Further investigation with MRI (with and without contrast) raised concerns for possible aortic dissection. CT angiography of thorax, abdomen and pelvis displayed extensive aortic dissection extending from aortic root to left iliac artery limiting flow to right carotid artery causing stenosis. The patient was diagnosed with Stanford type A aortic dissection. The patient was referred to the cardiothoracic surgery team for surgical repair. The patient made a good recovery after a prolonged course of hospitalisation, followed by cardiac rehabilitation and physical therapy.<\/jats:p>","DOI":"10.1136\/bcr-2019-230561","type":"journal-article","created":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T06:11:18Z","timestamp":1562652678000},"page":"e230561","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Paraplegia and acute aortic dissection: a diagnostic challenge for physicians in the emergency situation"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7489-6968","authenticated-orcid":false,"given":"Waqas","family":"Memon","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Carle Foundation Hospital, Urbana, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zobia","family":"Aijaz","sequence":"additional","affiliation":[{"name":"Dow University of Health Sciences, 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