Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke.
10.5090/kjtcs.2016.49.5.392
- Author:
Nari CHOI
1
;
Jee Eun YOON
;
Byoung Won PARK
;
Won Ho CHANG
;
Hyun Jo KIM
;
Kyung Bok LEE
Author Information
1. Department of Neurology, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine, Korea. kblee@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Aortic dissection;
Stroke;
Thrombolysis
- MeSH:
Angiography;
Brain;
Carotid Artery, Common;
Dizziness;
Emergencies;
Hemorrhage;
Humans;
Infarction;
Middle Aged;
Reflex, Babinski;
Seizures;
Stroke*;
Thorax;
Tissue Plasminogen Activator
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(5):392-396
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of aortic dissection masquerading as acute ischemic stroke followed by intravenous thrombolysis. A 59-year-old man presented with dizziness. After examination, the patient had a seizure with bilateral Babinski signs. Soon after identifying multiple acute infarctions in both hemispheres on diffusion-weighted brain magnetic resonance (MR) imaging, tissue plasminogen activator (t-PA) was administered. Both common carotid arteries were invisible on MR angiography, and subsequent chest computed tomography revealed an aortic dissection. The emergency operation was delayed for 13 hours due to t-PA administration. The patient died of massive bleeding.
