Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 392-396, 2016.
Article
en En
| WPRIM
| ID: wpr-161801
Biblioteca responsable:
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.
Palabras clave
Texto completo:
1
Banco de datos:
WPRIM
Asunto principal:
Convulsiones
/
Tórax
/
Encéfalo
/
Angiografía
/
Reflejo de Babinski
/
Activador de Tejido Plasminógeno
/
Arteria Carótida Común
/
Accidente Cerebrovascular
/
Mareo
/
Urgencias Médicas
Límite:
Humans
Idioma:
En
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Año:
2016
Tipo del documento:
Article