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Acute aortic dissections are highly fatal and are usually a postmortem diagnosis. Painless acute aortic dissections can lead to delay in diagnosis and catastrophic results for the patient. Type A dissections extending into the vessels of the brain and neck can cause cerebral hypo-perfusion leading to neurological symptoms. Marfan syndrome and other connective tissue disorders are more susceptible to be diagnosed with acute aortic dissections. Case Report: We present a rare case of acutedoi:10.17659/01.2019.0025 fatcat:5yn3wmcirvfevft6oc5osbuvjy