[Ischemic stroke related to pauci-symptomatic acute aortic dissection. Risks of intravenous thrombolysis]. / Infarctus cérébral par dissection aortique pauci-symptomatique. Les risques de la thrombolyse, à propos de deux observations.
Rev Neurol (Paris)
; 168(4): 357-62, 2012 Apr.
Article
in Fr
| MEDLINE
| ID: mdl-22405991
ABSTRACT
INTRODUCTION:
Acute aortic dissection involving the cervical arteries often induces cerebral infarction. In this context, there is a high risk of hemorrhage and thrombolytics are contra-indicated. OBSERVATION We report two patients with a cerebral infarction which occurred after a pauci-symptomatic and undiagnosed aortic dissection treated with thrombolysis. The outcome was poor for both patients.DISCUSSION:
Ischemic strokes related to acute aortic dissection often involve the right carotid artery territory and may manifest without pain. A systematic assessment of supra-aortic arteries might help to identify the underlying diagnosis.CONCLUSION:
Acute aortic dissection should be systematically mentioned in the management of the acute ischemic stroke.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Aortic Aneurysm
/
Thrombolytic Therapy
/
Brain Ischemia
/
Stroke
/
Fibrinolytic Agents
/
Aortic Dissection
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Evaluation_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Aged
/
Humans
/
Male
Language:
Fr
Journal:
Rev Neurol (Paris)
Year:
2012
Type:
Article
Affiliation country:
France