Consideration of Two Cases of Ascending Aortic Dissection That Began with Stroke-Like Symptoms
المؤلفون المشاركون
Takahashi, Chiaki
Sasaki, Takashi
المصدر
Case Reports in Neurological Medicine
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-01-18
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
We recently experienced two patients with stroke-like symptoms and ascending aortic dissection (AAD) in our outpatient department.
Both patients were transferred to our hospital presenting with neurological deficit such as hemiparesis and conjugate deviation.
They did not complain from any chest or abdominal pain.
Their MRI did not show fresh infarction or main branch occlusion.
A chest CT image showed AAD.
The former patient was immediately transferred to a tertiary hospital and the latter received conservative management in the cardiovascular department.
Discussion.
As neither patient was experiencing any pain, we initially diagnosed them with ischemic stroke and began treatment.
Fortunately, bleeding complications did not occur.
In such cases, problems are caused when intravenous tissue plasminogen activator (t-PA) injection is administered with the aim of reopening the occluded intracranial arteries.
In fact, patients with AAD undergoing t-PA injection have been reported to die from bleeding complications without any recognition of the dissection.
These findings suggest that confirmation using carotid ultrasound, carotid MR angiography, and a D-dimer test is crucial and should be adopted in emergency departments.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Takahashi, Chiaki& Sasaki, Takashi. 2015. Consideration of Two Cases of Ascending Aortic Dissection That Began with Stroke-Like Symptoms. Case Reports in Neurological Medicine،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059065
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Takahashi, Chiaki& Sasaki, Takashi. Consideration of Two Cases of Ascending Aortic Dissection That Began with Stroke-Like Symptoms. Case Reports in Neurological Medicine No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1059065
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Takahashi, Chiaki& Sasaki, Takashi. Consideration of Two Cases of Ascending Aortic Dissection That Began with Stroke-Like Symptoms. Case Reports in Neurological Medicine. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059065
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1059065
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر