What Lies behind the Ischemic Stroke: Aortic Dissection?
Joint Authors
Deniz, Turgut
Tulmac, Murat
Azapoglu, Burcu
Alp, Caglar
Dağ, Ersel
Source
Case Reports in Emergency Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-02
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Some cases with aortic dissection (AD) could present with various complaints other than pain, especially neurological and cardiovascular manifestations.
AD involving the carotid arteries could be associated with many clinical presentations, ranging from stroke to nonspecific headache.
Case Report.
A 71-year-old woman was admitted to emergency department with vertigo which started within the previous one hour and progressed with deterioration of consciousness following speech disorder.
On arrival, she was disoriented and uncooperative.
Diffusion magnetic resonance imaging (MRI) of brain was consistent with acute ischemia in the cerebral hemisphere.
Fibrinolytic treatment has been planned since symptoms started within two hours.
Echocardiography has shown the dilatation of ascending aorta with a suspicion of flap.
Computed tomography (CT) angiography has been applied and intimal flap has been detected which was consistent with aortic dissection, intramural hematoma of which was reaching from aortic arch to bilateral common carotid artery.
Thereafter, treatment strategy has completely changed and surgical invention has been done.
Conclusion.
In patients who are admitted to the emergency department with the loss of consciousness and stroke, inadequacy of anamnesis and carotid artery involvement of aortic dissection should be kept in mind.
American Psychological Association (APA)
Deniz, Turgut& Dağ, Ersel& Tulmac, Murat& Azapoglu, Burcu& Alp, Caglar. 2014. What Lies behind the Ischemic Stroke: Aortic Dissection?. Case Reports in Emergency Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034720
Modern Language Association (MLA)
Deniz, Turgut…[et al.]. What Lies behind the Ischemic Stroke: Aortic Dissection?. Case Reports in Emergency Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1034720
American Medical Association (AMA)
Deniz, Turgut& Dağ, Ersel& Tulmac, Murat& Azapoglu, Burcu& Alp, Caglar. What Lies behind the Ischemic Stroke: Aortic Dissection?. Case Reports in Emergency Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034720
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034720