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Intravenous Recombinant Tissue Plasminogen Activator Thrombolysis in a Patient with Acute Ischemic Stroke Secondary to Aortic Dissection

2009; Volume: 5; Issue: 1 Linguagem: Inglês

10.3988/jcn.2009.5.1.49

2005-5013

Keun‐Sik Hong, So‐Young Park, Seon-Il Whang, So‐Young Seo, Dong Ha Lee, Han‐Joon Kim, Joong‐Yang Cho, Yong‐Jin Cho, Woo-Ik Jang, Chang Young Kim,

Aortic aneurysm repair treatments

BackgroundaaAcute ischemic stroke secondary to aortic dissection (AoD) is challenging in the era of thrombolysis owing to the diagnostic difficulty within a narrow time window and the high risk of complications.Case ReportaaA 64-year-old woman with middle cerebral artery occlusion syndrome admitted to the emergency room within intravenous recombinant tissue plasminogen activator (rt-PA) time window.Her neurological symptoms improved during thrombolysis, but chest and abdominal pain developed.Repeated history-taking, physical examination, and imaging studies led to the timely diagnosis and surgical treatment of AoD, which produced a successful outcome.ConclusionsaaClinical suspicion is invaluable for the diagnosis of this rare cause of stroke.Considering the stroke mechanism and complications, the risks of thrombolysis might outweigh its benefits.