Carotid Artery Dissection and Ischemic Stroke Originating from Localized Aortic Arch Dissection

Aortic dissection is an infrequent but important cause of acute ischemic stroke (AIS), and must not be overlooked because of a possible worse outcome, especially with the use of an intravenous recombinant tissue plasminogen activator. We report a case of left carotid artery dissection and AIS origin...

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Veröffentlicht in:	Journal of stroke and cerebrovascular diseases 2016-11, Vol.25 (11), p.e209-e211
Hauptverfasser:	Kamimura, Teppei, MD, Nomura, Eiichi, MD, PhD, Hara, Naoyuki, MD, Maetani, Yuta, MD, Agari, Dai, MD, Ichimura, Kouichi, MD, PhD, Yoshida, Hideo, MD, PhD, Yamawaki, Takemori, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	acute ischemic stroke Aneurysm, Dissecting - complications Aneurysm, Dissecting - diagnostic imaging Aneurysm, Dissecting - surgery Aortic Aneurysm, Thoracic - complications Aortic Aneurysm, Thoracic - diagnosis Aortic Aneurysm, Thoracic - surgery Aortic dissection Aortography - methods Blood Vessel Prosthesis Implantation Brain Ischemia - diagnostic imaging Brain Ischemia - etiology Cardiovascular Carotid Artery Diseases - diagnostic imaging Carotid Artery Diseases - etiology Cerebral Angiography - methods Computed Tomography Angiography cystic medial necrosis Cysts - complications Cysts - diagnosis Cysts - surgery Humans Magnetic Resonance Angiography Male Middle Aged Neurology Stroke - diagnostic imaging Stroke - etiology three dimensional computed tomography angiography
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Beschreibung
Zusammenfassung:	Aortic dissection is an infrequent but important cause of acute ischemic stroke (AIS), and must not be overlooked because of a possible worse outcome, especially with the use of an intravenous recombinant tissue plasminogen activator. We report a case of left carotid artery dissection and AIS originating from localized aortic arch dissection, pathologically caused by cystic medial necrosis in the tunica media.
ISSN:	1052-3057 1532-8511
DOI:	10.1016/j.jstrokecerebrovasdis.2016.07.034