Carotid Artery Dissection and Ischemic Stroke Originating from Localized Aortic Arch Dissection.
Aortic dissection is an infrequent but important cause of acute ischemic stroke (AIS), and must not be overlooked because of a possible worse outcome, especially with the use of an intravenous recombinant tissue plasminogen activator. We report a case of left carotid artery dissection and AIS originating from localized aortic arch dissection, pathologically caused by cystic medial necrosis in the tunica media.
Department of Neurology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Teppei
T
Kamimura
Department of Neurology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan. Electronic address: nomura@mwc.biglobe.ne.jp.
Eiichi
E
Nomura
Department of Neurology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Naoyuki
N
Hara
Department of Neurology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Yuta
Y
Maetani
Department of Neurology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Dai
D
Agari
Department of Pathology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Kouichi
K
Ichimura
Department of Cardiovascular Surgery, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Hideo
H
Yoshida
Department of Neurology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Takemori
T
Yamawaki
D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000209:etiology*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D002533:Cerebral Angiography / Q000379:methods; D000072226:Computed Tomography Angiography; D003560:Cysts / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology*
Aortic dissection; acute ischemic stroke; cystic medial necrosis; three dimensional computed tomography angiography