Revue neurologique · 2012
[Ischemic stroke related to pauci-symptomatic acute aortic dissection. Risks of intravenous thrombolysis].
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Folgoas E, Toulgoat F, Sévin M, Boutoleau-Bretonnière C, Guillon B
Аннотация
INTRODUCTION: 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.
OBSERVATION: 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.
DISCUSSION: 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.
CONCLUSION: Acute aortic dissection should be systematically mentioned in the management of the acute ischemic stroke.
OBSERVATION: 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.
DISCUSSION: 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.
CONCLUSION: Acute aortic dissection should be systematically mentioned in the management of the acute ischemic stroke.