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Aortic Dissection Presenting as an Acute Ischemic Stroke for Thrombolysis
Author(s) -
Uchino Ken,
Estrera Anthony,
Calleja Sergio,
Alexandrov Andrei V.,
Garami Zsolt
Publication year - 2005
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/j.1552-6569.2005.tb00323.x
Subject(s) - medicine , thrombolysis , aortic dissection , stroke (engine) , radiology , carotid artery dissection , chest pain , cardiology , acute stroke , dissection (medical) , myocardial infarction , aorta , tissue plasminogen activator , mechanical engineering , engineering
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.