Acute aortic dissection case with stroke presentation.
The correct diagnosis of acute aortic syndrome complicated by neurologic symptoms is essential. Performing thrombolytic therapy for acute-stage cerebral infarction would probably be the reason for fatal outcomes. We herein report the case of a 63-year-old man who presented with left hemiparesis and...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nizameddin KOCA
2020-10-01
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| Series: | Turkish Journal of Internal Medicine |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/1205081 |
| _version_ | 1797916200658796544 |
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| author | Meral Seferoglu Nizameddin Koca Barış Şensoy |
| author_facet | Meral Seferoglu Nizameddin Koca Barış Şensoy |
| author_sort | Meral Seferoglu |
| collection | DOAJ |
| description | The correct diagnosis of acute aortic syndrome complicated by neurologic symptoms is essential. Performing thrombolytic therapy for acute-stage cerebral infarction would probably be the reason for fatal outcomes. We herein report the case of a 63-year-old man who presented with left hemiparesis and paraparesis. An acute myocardial infarction was excluded by electrocardiography and blood tests. Head computed tomography (CT) showed no remarkable findings. Although there was no chest pain, it was found in CT-angiography that he has an intramural hematoma in the ascending aorta and a severe dissection in the descending aorta. Aortic dissection may mimic acute stroke, in order to make the right decision about the treatment of acute aortic syndrome with neurologic complications, the benefits and risks should therefore be considered in individual patients. |
| first_indexed | 2024-04-10T12:53:26Z |
| format | Article |
| id | doaj.art-0c8e3af31390486eba9b4d69c981942b |
| institution | Directory Open Access Journal |
| issn | 2687-4245 |
| language | English |
| last_indexed | 2024-04-10T12:53:26Z |
| publishDate | 2020-10-01 |
| publisher | Nizameddin KOCA |
| record_format | Article |
| series | Turkish Journal of Internal Medicine |
| spelling | doaj.art-0c8e3af31390486eba9b4d69c981942b2023-02-15T16:13:37ZengNizameddin KOCATurkish Journal of Internal Medicine2687-42452020-10-012412312610.46310/tjim.7704281881Acute aortic dissection case with stroke presentation.Meral Seferoglu0Nizameddin Koca1Barış Şensoy2SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, BURSA YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, NÖROLOJİ ANABİLİM DALISAĞLIK BİLİMLERİ ÜNİVERSİTESİ, BURSA YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜSAĞLIK BİLİMLERİ ÜNİVERSİTESİ, BURSA YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜThe correct diagnosis of acute aortic syndrome complicated by neurologic symptoms is essential. Performing thrombolytic therapy for acute-stage cerebral infarction would probably be the reason for fatal outcomes. We herein report the case of a 63-year-old man who presented with left hemiparesis and paraparesis. An acute myocardial infarction was excluded by electrocardiography and blood tests. Head computed tomography (CT) showed no remarkable findings. Although there was no chest pain, it was found in CT-angiography that he has an intramural hematoma in the ascending aorta and a severe dissection in the descending aorta. Aortic dissection may mimic acute stroke, in order to make the right decision about the treatment of acute aortic syndrome with neurologic complications, the benefits and risks should therefore be considered in individual patients.https://dergipark.org.tr/tr/download/article-file/1205081aort dissectionparaparesiastroketpa |
| spellingShingle | Meral Seferoglu Nizameddin Koca Barış Şensoy Acute aortic dissection case with stroke presentation. Turkish Journal of Internal Medicine aort dissection paraparesia stroke tpa |
| title | Acute aortic dissection case with stroke presentation. |
| title_full | Acute aortic dissection case with stroke presentation. |
| title_fullStr | Acute aortic dissection case with stroke presentation. |
| title_full_unstemmed | Acute aortic dissection case with stroke presentation. |
| title_short | Acute aortic dissection case with stroke presentation. |
| title_sort | acute aortic dissection case with stroke presentation |
| topic | aort dissection paraparesia stroke tpa |
| url | https://dergipark.org.tr/tr/download/article-file/1205081 |
| work_keys_str_mv | AT meralseferoglu acuteaorticdissectioncasewithstrokepresentation AT nizameddinkoca acuteaorticdissectioncasewithstrokepresentation AT barıssensoy acuteaorticdissectioncasewithstrokepresentation |