Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke

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 hemisphe...

Descripción completa

Detalles Bibliográficos
Autores principales: Choi, Nari, Yoon, Jee-Eun, Park, Byoung-Won, Chang, Won-Ho, Kim, Hyun-Jo, Lee, Kyung Bok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5059128/
https://www.ncbi.nlm.nih.gov/pubmed/27734002
http://dx.doi.org/10.5090/kjtcs.2016.49.5.392
Descripción
Sumario: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.

Ejemplares similares