Intravenous Recombinant Tissue Plasminogen Activator Thrombolysis in a Patient with Acute Ischemic Stroke Secondary to Aortic Dissection
Journal of Clinical Neurology
;
: 49-52, 2009.
Article
in English
| WPRIM
| ID: wpr-211095
ABSTRACT
BACKGROUND:
Acute ischemic stroke secondary to aortic dissection (AoD) is challenging in the era of thrombolysis owing to the diagnostic difficulty within a narrow time window and the high risk of complications. CASE REPORT A 64-year-old woman with middle cerebral artery occlusion syndrome admitted to the emergency room within intravenous recombinant tissue plasminogen activator (rt-PA) time window. Her neurological symptoms improved during thrombolysis, but chest and abdominal pain developed. Repeated history-taking, physical examination, and imaging studies led to the timely diagnosis and surgical treatment of AoD, which produced a successful outcome.CONCLUSIONS:
Clinical suspicion is invaluable for the diagnosis of this rare cause of stroke. Considering the stroke mechanism and complications, the risks of thrombolysis might outweigh its benefits.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Physical Examination
/
Thorax
/
Abdominal Pain
/
Tissue Plasminogen Activator
/
Stroke
/
Infarction, Middle Cerebral Artery
/
Emergencies
Limits:
Female
/
Humans
Language:
English
Journal:
Journal of Clinical Neurology
Year:
2009
Type:
Article
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