Title pageTitle: A Case of Acute Aortic Dissection with Neurological Manifestations: A Painless, Atypical PresentationAuthors: Zheng Yang , Gaoshang Zhu, Huihui Zhu, Chen Liu, Fang HanCorresponding Author: Zheng Yang (Email: yang200d@163.com)Co-first author: Gaoshang ZhuJoint corresponding author: Fang HanAuthors’ affiliations and addresses: Tongde Hospital of Zhejiang Province, 234# Gucui ROAD, HangZhou city, China. 310012Corresponding author email:yang200d@163.comEthics Statement：This retrospective case study was approved by the Ethics Committee of Tongde Hospital of Zhejiang Province. As this study involved the review of existing medical records with deidentified information, the Ethics Committee waived the requirement for informed consent.Acknowledgement: None.Funding: None.Conflict of Interest: The authors declare no conflicts of interest in this article. None of the authors have financial relationships that are relevant to this article’s content to disclose.Authorship contribution statement:Y.Z., Z.G., Z.H., L.C., and H.F. were involved in the clinical care and management of the patient. Y.Z. and Z.G. conceptualized the study and drafted the initial manuscript. Z.H., L.C., and H.F. were involved in critical revision of the manuscript. Y.Z. and H.F. supervised the study and acquired funding. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.