title: [Ischemic stroke related to pauci-symptomatic acute aortic dissection. Risks of intravenous thrombolysis].
abstract: BACKGROUND
  Acute aortic dissection involving the cervical arteries often induces cerebral infarction. In this context, there is a high risk of hemorrhage and thrombolytics are contra-indicated.
  
  
  METHODS
  We report two patients with a cerebral infarction which occurred after a pauci-symptomatic and undiagnosed aortic dissection treated with thrombolysis. The outcome was poor for both patients.
  
  
  CONCLUSIONS
  Ischemic strokes related to acute aortic dissection often involve the right carotid artery territory and may manifest without pain. A systematic assessment of supra-aortic arteries might help to identify the underlying diagnosis.
  
  
  CONCLUSIONS
  Acute aortic dissection should be systematically mentioned in the management of the acute ischemic stroke.
authors.affiliation: Unité neurovasculaire, service de neurologie, hôpital G-&-R-Laënnec, centre hospitalier et universitaire de Nantes, boulevard Jacques-Monod, 44093 Nantes cedex 1, France. emmanuelle-folgoas@wanadoo.fr
authors.forename: E
authors.initials: E
authors.lastname: Folgoas
authors.forename: F
authors.initials: F
authors.lastname: Toulgoat
authors.forename: M
authors.initials: M
authors.lastname: Sévin
authors.forename: C
authors.initials: C
authors.lastname: Boutoleau-Bretonnière
authors.forename: B
authors.initials: B
authors.lastname: Guillon
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy; D001014:Aortic Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy; D002545:Brain Ischemia / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D005343:Fibrinolytic Agents / Q000008:administration & dosage* / Q000009:adverse effects; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D011859:Radiography; D012306:Risk; D020521:Stroke / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D015912:Thrombolytic Therapy / Q000009:adverse effects*
chemical_list: D005343:Fibrinolytic Agents