Aortic dissection presenting as an acute ischemic stroke for thrombolysis

Ken Uchino, Anthony Estrera, Sergio Calleja, Andrei V. Alexandrov, Zsolt Garami

Research output: Contribution to journalArticle

34 Scopus citations

Abstract

Thrombolysis for the treatment of acute ischemic stroke requires careful selection of patients. The authors report a case of aortic dissection presenting with acute ischemic stroke for which emergent ultrasonographic evaluation was helpful in the diagnosis and subsequent treatment. The patient presented with acute middle cerebral artery ischemic stroke symptoms and complained of bilateral ear and chest pain. Chest x-ray, cardiac enzymes, and transthoracic echocardiogram were normal, and she was considered for thrombolytic therapy. Carotid ultrasound revealed right common carotid occlusion that led to the diagnosis of aortic dissection, confirmed by chest computed tomography. An experienced sonographer with skills to perform rapid intra- and extracranial examinations may help to change the treatment plan for acute stroke patients.

Original languageEnglish (US)
Pages (from-to)281-283
Number of pages3
JournalJournal of Neuroimaging
Volume15
Issue number3
DOIs
StatePublished - Jul 1 2005

Keywords

  • Aortic dissection
  • Diagnosis
  • Stroke
  • Thrombolysis
  • Ultrasound

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology
  • Neuroscience(all)
  • Radiological and Ultrasound Technology

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