Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 392-396, 2016.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-161801
Responsible library:
WPRO
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Seizures
/
Thorax
/
Brain
/
Angiography
/
Reflex, Babinski
/
Tissue Plasminogen Activator
/
Carotid Artery, Common
/
Stroke
/
Dizziness
/
Emergencies
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2016
Document type:
Article