Fig. 1MR diffusion weighted images (A) and MR angiography (B) shows acute right hemispheric infarction with stenosis of the right middle cerebral artery and intracranial internal carotid artery (white arrows).
Fig. 2Comparing with unremarkable initial chest X-ray (A), followed-up chest X-ray revealed mediastinal widening (B, black arrowheads).
Fig. 3Carotid (A) and aorta CT angiography (B) shows that aortic dissection (Stanford A, DeBakey I) with the occlusion ofthe right common carotid artery (black arrows).
Table 1Summary of reported cases of aortic dissection diagnosed by routine evaluation in patients without initial clinical clue