title: Delayed Surgery for Aortic Dissection after Intravenous Thrombolysis in Acute Ischemic Stroke.
abstract: We report a case of aortic dissection masquerading as acute ischemic stroke followed by intravenous thrombolysis. A 59-year-old man presented with dizziness. After examination, the patient had a seizure with bilateral Babinski signs. Soon after identifying multiple acute infarctions in both hemispheres on diffusion-weighted brain magnetic resonance (MR) imaging, tissue plasminogen activator (t-PA) was administered. Both common carotid arteries were invisible on MR angiography, and subsequent chest computed tomography revealed an aortic dissection. The emergency operation was delayed for 13 hours due to t-PA administration. The patient died of massive bleeding.
authors.affiliation: Department of Neurology, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine.
authors.forename: Nari
authors.initials: N
authors.lastname: Choi
authors.affiliation: Department of Neurology, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine.
authors.forename: Jee-Eun
authors.initials: JE
authors.lastname: Yoon
authors.affiliation: Department of Cardiology, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine.
authors.forename: Byoung-Won
authors.initials: BW
authors.lastname: Park
authors.affiliation: Department of Thoracic Surgery, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine.
authors.forename: Won-Ho
authors.initials: WH
authors.lastname: Chang
authors.affiliation: Department of Thoracic Surgery, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine.
authors.forename: Hyun-Jo
authors.initials: HJ
authors.lastname: Kim
authors.affiliation: Department of Neurology, Soonchunhyang University Hospital, Soonchunhyang University School of Medicine.
authors.forename: Kyung Bok
authors.initials: KB
authors.lastname: Lee
keywords: Aortic dissection; Stroke; Thrombolysis