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- Yuka Hama, Masatoshi Koga, Keisuke Tokunaga, Hotake Takizawa, Kotaro Miyashita, Yutaka Iba, and Kazunori Toyoda.
- Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Suita, Japan.
- J Neuroimaging. 2015 Jul 1; 25 (4): 671673671-3.
AbstractAcute aortic dissection is the most common acute aortic condition requiring urgent surgical therapy. Due to lack of typical symptoms, it is sometimes difficult to identify acute aortic dissection causing ischemic stroke. We report a case of a patient with acute ischemic stroke who was deemed ineligible for intravenous recombinant tissue plasminogen activator treatment based on a finding of acute aortic dissection detected by carotid ultrasonography. After urgent aortic replacement surgery, the patient recovered with no neurological deficit. This case underscores the crucial role of carotid ultrasonography for the investigation of possible underlying acute aortic dissection when considering the use of intravenous recombinant tissue plasminogen activator therapy for hyperacute stroke.Copyright © 2014 by the American Society of Neuroimaging.
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