Abstract
A 39-year-old man with syncope and persistent dizziness was sent to stroke emergency. Patient's diffusion magnetic resonance imaging of brain showed acute ischemia in right cerebella and right occipital lobe, thus intravenous recombinant tissue plasminogen activator was given to him. However, the patient behaved rather restless with repeated complaint of back and thoracic pain. Further thorax computed tomography angiography confirmed that the underlying cause turned out to be aortic dissection.
Keywords:
Acute ischemic stroke; aortic dissection; hypotension; thrombolysis.
Copyright © 2017. Published by Elsevier Inc.
MeSH terms
-
Adult
-
Aortic Aneurysm, Thoracic / complications*
-
Aortic Aneurysm, Thoracic / diagnostic imaging
-
Aortic Aneurysm, Thoracic / surgery
-
Aortic Dissection / complications*
-
Aortic Dissection / diagnostic imaging
-
Aortic Dissection / surgery
-
Aortography / methods
-
Brain Ischemia / diagnostic imaging
-
Brain Ischemia / drug therapy
-
Brain Ischemia / etiology*
-
Computed Tomography Angiography
-
Diffusion Magnetic Resonance Imaging
-
Fibrinolytic Agents / administration & dosage
-
Humans
-
Infusions, Intravenous
-
Magnetic Resonance Angiography
-
Male
-
Stroke / diagnostic imaging
-
Stroke / drug therapy
-
Stroke / etiology*
-
Thrombolytic Therapy
-
Tissue Plasminogen Activator / administration & dosage
-
Treatment Outcome
Substances
-
Fibrinolytic Agents
-
Tissue Plasminogen Activator