Case Presentation #25

A 52-year-old hypertensive man presented to the emergency department with right hemiparesis. His blood pressure was 170/95 mm Hg. Physical examination and emergent brain CT was performed confirming an ischemic stroke and the patient hospitalized. Furtunately the physician considerd bedside echocardiogram to assess the aortic root size that showed an ascending aortic aneurysm with an aortic flap and severe aortic regurgitation. Stanford type A aortic dissection was confirmed by CT angiography. The patient undertook surgical valve-sparing root replacement and was successfully treated and survived. He was discharged after 3 weeks. After discharge from hospital, he was referred to the physical therapist to receive physiotherapy for his hemiparesis. After eight weeks VR rehabilitation, three times a week, with Recovery Tech serious game named 'The clock and balls' his motor function improved significantly. After that he returned to almost normal life and was able to do activities of daily life independently.