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Aortic dissection is an urgent clinical condition with high mortality when it is not diagnosed or late to be diagnosed. If this condition do not treated, the mortality increases by 1-2% every hour. Patients can describe back pain like predatory characteristic that spreading ridge, severe chest pain, syncope, hemiparesis, neurological disorders such as hemiplegia or they can also come out acute myocardial infarction and acute renal failure. Because of so many clinical variations we can think that aortic dissection may be encountered with a wide clinical distribution. In our cases we aimed to emphasize that the diagnosis of acute aortic dissection in patients presenting without typical complaints but with disease of neurological complaints.