An extensive chronic aortic dissection presenting with acute embolic stroke

Herein, we present a rare case of extensive chronic aortic dissection with extension to bilateral subclavian arteries, bilateral common carotid arteries, right internal carotid artery, bilateral proximal external iliac arteries and simultaneous presentation of acute embolic stroke and seizure. The r...

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Main Authors: Sijan Basnet, Naba Raj Mainali, Biswaraj Tharu, Rashmi Dhital, Dilli Ram Poudel
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2017-10-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://dx.doi.org/10.1080/20009666.2017.1379854
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author Sijan Basnet
Naba Raj Mainali
Biswaraj Tharu
Rashmi Dhital
Dilli Ram Poudel
author_facet Sijan Basnet
Naba Raj Mainali
Biswaraj Tharu
Rashmi Dhital
Dilli Ram Poudel
author_sort Sijan Basnet
collection DOAJ
description Herein, we present a rare case of extensive chronic aortic dissection with extension to bilateral subclavian arteries, bilateral common carotid arteries, right internal carotid artery, bilateral proximal external iliac arteries and simultaneous presentation of acute embolic stroke and seizure. The rarity of this case presentation and the presence of neurological features necessitated a high index of clinical suspicion to reach the definitive diagnosis. This study also demonstrates a unique situation requiring correlation between chronic aortic dissection and multi-organ system dysfunction from chronic ischemia.
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spelling doaj.art-f13c4155bf6f4200875b6371eb9c3cbb2023-01-02T22:22:13ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662017-10-017531431710.1080/20009666.2017.13798541379854An extensive chronic aortic dissection presenting with acute embolic strokeSijan Basnet0Naba Raj Mainali1Biswaraj Tharu2Rashmi Dhital3Dilli Ram Poudel4Reading Health SystemJefferson Medical CollegeTribhuvan UniversityReading Health SystemReading Health SystemHerein, we present a rare case of extensive chronic aortic dissection with extension to bilateral subclavian arteries, bilateral common carotid arteries, right internal carotid artery, bilateral proximal external iliac arteries and simultaneous presentation of acute embolic stroke and seizure. The rarity of this case presentation and the presence of neurological features necessitated a high index of clinical suspicion to reach the definitive diagnosis. This study also demonstrates a unique situation requiring correlation between chronic aortic dissection and multi-organ system dysfunction from chronic ischemia.http://dx.doi.org/10.1080/20009666.2017.1379854Chronic aortic dissectionbeta blockersstrokeseizureimaging
spellingShingle Sijan Basnet
Naba Raj Mainali
Biswaraj Tharu
Rashmi Dhital
Dilli Ram Poudel
An extensive chronic aortic dissection presenting with acute embolic stroke
Journal of Community Hospital Internal Medicine Perspectives
Chronic aortic dissection
beta blockers
stroke
seizure
imaging
title An extensive chronic aortic dissection presenting with acute embolic stroke
title_full An extensive chronic aortic dissection presenting with acute embolic stroke
title_fullStr An extensive chronic aortic dissection presenting with acute embolic stroke
title_full_unstemmed An extensive chronic aortic dissection presenting with acute embolic stroke
title_short An extensive chronic aortic dissection presenting with acute embolic stroke
title_sort extensive chronic aortic dissection presenting with acute embolic stroke
topic Chronic aortic dissection
beta blockers
stroke
seizure
imaging
url http://dx.doi.org/10.1080/20009666.2017.1379854
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