Background: 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 acute dissection presenting with dizziness and underwent surgical intervention. Conclusion: Identification of acute aortic dissection with atypical presentation is a challenging task for emergency physicians.