title: Isolated brachiocephalic artery dissection presenting as acute stroke.
abstract: Isolated brachiocephalic artery dissection is an extremely rare condition. Its presentation as an acute stroke can pose a significant diagnostic challenge in patients because of its rarity. We present a case of isolated spontaneous brachiocephalic artery dissection presenting as acute cerebrovascular accident. This case also illustrates the treatment dilemma brachiocephalic artery dissection can present, whether to choose antithrombotic/anticoagulation therapy and/or surgery, and also the dilemma in blood pressure management.
authors: Department of Internal Medicine, Marshfield Clinic, Eau Claire, Wisconsin, USA.
authors: Hariharasudan
authors: H
authors: Mani
authors: Department of Neurology, Marshfield Clinic, Eau Claire, Wisconsin, USA.
authors: Sharat
authors: S
authors: Ahluwalia
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis* / Q000188:drug therapy; D000925:Anticoagulants / Q000008:administration & dosage*; D000959:Antihypertensive Agents / Q000008:administration & dosage*; D001241:Aspirin / Q000008:administration & dosage; D001259:Ataxia / Q000209:etiology*; D016122:Brachiocephalic Trunk / Q000473:pathology*; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008487:Medical History Taking; D009765:Obesity; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage*; D020521:Stroke / Q000175:diagnosis*; D014859:Warfarin / Q000008:administration & dosage
chemical_list: D000925:Anticoagulants; D000959:Antihypertensive Agents; D010975:Platelet Aggregation Inhibitors; D014859:Warfarin; D006493:Heparin; D001241:Aspirin