Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 392-396, 2016.
Article
ي En
| WPRIM
| ID: wpr-161801
المكتبة المسؤولة:
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.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Seizures
/
Thorax
/
Brain
/
Angiography
/
Reflex, Babinski
/
Tissue Plasminogen Activator
/
Carotid Artery, Common
/
Stroke
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Dizziness
/
Emergencies
المحددات:
Humans
اللغة:
En
مجلة:
The Korean Journal of Thoracic and Cardiovascular Surgery
السنة:
2016
نوع:
Article