open access

Vol 49, No 3 (2015)
Case reports
Submitted: 2015-01-24
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A patient with acute aortic dissection presenting with bilateral stroke – A rare experience

Olimpia Kowalska-Brozda, Mateusz Brozda
DOI: 10.1016/j.pjnns.2015.04.009
·
Neurol Neurochir Pol 2015;49(3):197-202.

open access

Vol 49, No 3 (2015)
Case reports
Submitted: 2015-01-24

Abstract

Acute aortic dissection is a rare, life-threatening condition requiring early recognition and proper treatment. Although chest pain remains the most frequent initial symptom, clinical manifestation of aortic dissection varies. Rarely aortic dissection starts with neurological symptoms such as ischemic stroke, which is usually right-sided. A danger of performing thrombolytic therapy in these patients exists if aortic dissection is overlooked. Herein, we present a case of a patient with acute aortic dissection without typical chest pain whose initial manifestation was bilateral stroke. The uncommon presentation which masked the underlying condition delayed implementation of appropriate management. Moreover, the late admission to hospital prevented the patient from administration of recombined tissue plasminogen activator that would certainly decrease chances of survival. Presented case highlights the need for thorough physical examination at admission to hospital in all patients with acute stroke and points out the necessity of proper clinical work-up including adequate aorta imaging modalities of patients with acute stroke and suggestive findings of aortic dissection.

Abstract

Acute aortic dissection is a rare, life-threatening condition requiring early recognition and proper treatment. Although chest pain remains the most frequent initial symptom, clinical manifestation of aortic dissection varies. Rarely aortic dissection starts with neurological symptoms such as ischemic stroke, which is usually right-sided. A danger of performing thrombolytic therapy in these patients exists if aortic dissection is overlooked. Herein, we present a case of a patient with acute aortic dissection without typical chest pain whose initial manifestation was bilateral stroke. The uncommon presentation which masked the underlying condition delayed implementation of appropriate management. Moreover, the late admission to hospital prevented the patient from administration of recombined tissue plasminogen activator that would certainly decrease chances of survival. Presented case highlights the need for thorough physical examination at admission to hospital in all patients with acute stroke and points out the necessity of proper clinical work-up including adequate aorta imaging modalities of patients with acute stroke and suggestive findings of aortic dissection.

Get Citation

Keywords

Aortic dissection, Stroke, Neurological symptoms, Thrombolytic therapy

About this article
Title

A patient with acute aortic dissection presenting with bilateral stroke – A rare experience

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 49, No 3 (2015)

Pages

197-202

DOI

10.1016/j.pjnns.2015.04.009

Bibliographic record

Neurol Neurochir Pol 2015;49(3):197-202.

Keywords

Aortic dissection
Stroke
Neurological symptoms
Thrombolytic therapy

Authors

Olimpia Kowalska-Brozda
Mateusz Brozda

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