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

详细信息    查看全文

• 作者：Teppei Kamimura ; MD^* ; Eiichi Nomura ; MD ; PhD^* ; ^{nomura@mwc.biglobe.ne.jp" class="auth_mail" title="E-mail the corresponding author} ; Naoyuki Hara ; MD^* ; Yuta Maetani ; MD^* ; Dai Agari ; MD^* ; Kouichi Ichimura ; MD ; PhD^&dagger ; ; Hideo Yoshida ; MD ; PhD^&Dagger ; ; Takemori Yamawaki ; MD ; PhD^*
• 关键词：Aortic dissection ; acute ischemic stroke ; cystic medial necrosis ; three dimensional computed tomography angiography
• 刊名：Journal of Stroke and Cerebrovascular Diseases
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：25
• 期：11
• 页码：e209-e211
• 全文大小：435 K

文摘

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.