Aortic Dissection after Intravenous Thrombolysis in Acute Cerebral Infarction.
10.7180/kmj.2017.32.1.127
- Author:
Young Rok DO
1
Author Information
1. Department of Neurology, Catholic University of Daegu School of Medicine, Daegu, Korea. dyr4173@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Cerebral infarction;
Dissection;
Thrombolytic therapy
- MeSH:
Aged, 80 and over;
Angiography;
Aorta, Thoracic;
Cerebral Infarction*;
Female;
Follow-Up Studies;
Humans;
Infarction, Middle Cerebral Artery;
Thorax;
Thrombolytic Therapy;
Tissue Plasminogen Activator
- From:Kosin Medical Journal
2017;32(1):127-132
- CountryRepublic of Korea
- Language:English
-
Abstract:
Use of recombinant tissue plasminogen activator (rt-PA) for the treatment of acute cerebral infarction secondary to aortic dissection is challenging because of a narrow time window and potential life-threatening complications. An 80-year-old woman with right middle cerebral artery infarction was treated with rt-PA. Although she had no history, symptoms, or sign of aortic dissection, carotid CT angiography revealed aortic arch dissection. Mediastinal widening, which did not show on initial chest X-ray, developed on follow-up chest X-ray. This observation indicates that physicians should monitor patient symptoms for signs of aortic dissection during thrombolysis and perform chest X-ray or carotid angiography immediately after thrombolysis even if the patient has no symptoms or signs of aortic dissection on onset of acute cerebral infarction.
