Full-Dose Thrombolysis for a Right Middle Cerebral Artery Stroke after an Acute Aortic Dissection

被引:4
作者
Kazmi, Syed Omar [1 ]
Achi, Oliver [1 ]
Damani, Rahul [1 ]
机构
[1] Baylor Coll Med, Dept Neurol, Div Vasc Neurol & Neurocrit Care, 7200 Cambridge St,Suite 9A, Houston, TX 77584 USA
关键词
Acute ischemic stroke; aortic dissection; good outcome; thrombolysis; INFARCTION;
D O I
10.4103/aian.AIAN_78_18
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Intravenous recombinant tissue plasminogen activator (IV r-tpa) is the standard of care for patients suffering from neurological deficits due to an acute ischemic stroke within 4.5 hours in the absence of intracranial hemorrhage. We report a case of a patient with an acute right middle cerebral artery stroke due to an acute aortic dissection (Stanford Type A) who was treated with full dose IV r-tpa resulting in a good outcome.
引用
收藏
页码:223 / 224
页数:2
相关论文
共 8 条
[1]   Acute type A aortic dissection complicated by stroke: Can immediate repair be performed safely? [J].
Estrera, Anthony L. ;
Garami, Zsolt ;
Miller, Charles C. ;
Porat, Eyal E. ;
Achouh, Paul E. ;
Dhareshwar, Jayesh ;
Meada, Riad ;
Azizzadeh, Ali ;
Safi, Hazim J. .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2006, 132 (06) :1404-1408
[2]   Acute cerebral infarction caused by aortic dissection: Caution in the thrombolytic era [J].
Flemming, KD ;
Brown, RD .
STROKE, 1999, 30 (02) :477-478
[3]   The International Registry of Acute Aortic Dissection (IRAD) - New insights into an old disease [J].
Hagan, PG ;
Nienaber, CA ;
Isselbacher, EM ;
Bruckman, D ;
Karavite, DJ ;
Russman, PL ;
Evangelista, A ;
Fattori, R ;
Suzuki, T ;
Oh, JK ;
Moore, AG ;
Malouf, JF ;
Pape, LA ;
Gaca, C ;
Sechtem, U ;
Lenferink, S ;
Deutsch, HJ ;
Diedrichs, H ;
Robles, JMY ;
Llovet, A ;
Gilon, D ;
Das, SK ;
Armstrong, WF ;
Deeb, GM ;
Eagle, KA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 283 (07) :897-903
[4]   Hyper-acute Stroke Patients Associated with Aortic Dissection [J].
Iguchi, Yasuyuki ;
Kimura, Kazumi ;
Sakai, Kenichiro ;
Matsumoto, Noriko ;
Aoki, Junya ;
Yamashita, Shinji ;
Shibazaki, Kensaku .
INTERNAL MEDICINE, 2010, 49 (06) :543-547
[5]   Guidelines for the Early Management of Patients With Acute Ischemic Stroke A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association [J].
Jauch, Edward C. ;
Saver, Jeffrey L. ;
Adams, Harold P., Jr. ;
Bruno, Askiel ;
Connors, J. J. ;
Demaerschalk, Bart M. ;
Khatri, Pooja ;
McMullan, Paul W., Jr. ;
Qureshi, Adnan I. ;
Rosenfield, Kenneth ;
Scott, Phillip A. ;
Summers, Debbie R. ;
Wang, David Z. ;
Wintermark, Max ;
Yonas, Howard .
STROKE, 2013, 44 (03) :870-947
[6]   MYOCARDIAL-INFARCTION, AORTIC DISSECTION, AND THROMBOLYTIC THERAPY [J].
KAMP, TJ ;
GOLDSCHMIDTCLERMONT, PJ ;
BRINKER, JA ;
RESAR, JR .
AMERICAN HEART JOURNAL, 1994, 128 (06) :1234-1237
[7]   Stroke secondary to aortic dissection treated with a thrombolytic: a successful case [J].
Mendes, Amelia ;
Mendonca, Teresa ;
Sousa, Antonio ;
Moreira, Goreti ;
Carvalho, Marta .
NEUROLOGICAL SCIENCES, 2012, 33 (01) :107-110
[8]   Thrombolytic therapy in a patient with acute ischemic stroke caused by aortic dissection [J].
Noel, Michelle ;
Short, Jody ;
Farooq, Muhammad U. .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2010, 112 (08) :695-696