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Cerebral infarction due to painless thoracic aortic and common carotid artery dissections.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Veyssier-Belot, Catherine Cohen, Andrew Rougemont, Didier Lévy, Claude Amarenco, Pierre Bousser, Marie Germaine |
| Copyright Year | 1993 |
| Abstract | BACKGROUND Aortic arch dissection is usually lethal unless emergency surgery is performed. The dissection rarely may have a benign outcome or may occur without pain and be revealed by cerebral infarction. It is then likely to be seen primarily by a neurologist. In such cases, the value of new noninvasive diagnostic testing has not been reported. CASE DESCRIPTION A 51-year-old man had a sudden left-sided hemiplegia due to hemorrhagic capsular and caudate infarcts on the right side. Cervical ultrasound examination with color flow imaging showed a bilateral common carotid artery dissection extending up to the bifurcation. Transesophageal echocardiography showed an aortic arch dissection, involving the innominate and left common carotid artery origins, which was confirmed by magnetic resonance imaging and aortography. The patient spontaneously fully recovered and is still alive 24 months after the stroke onset. CONCLUSIONS This case emphasizes the usefulness of new noninvasive techniques such as transesophageal echocardiography and color-coded Doppler echocardiography in the diagnosis and follow-up of painless dissection of aortic and common carotid arteries. This cause of stroke may be underestimated. |
| Starting Page | 21894 |
| Ending Page | 21907 |
| Page Count | 14 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://stroke.ahajournals.org/content/strokeaha/24/12/2111.full.pdf?download=true |
| Alternate Webpage(s) | http://stroke.ahajournals.org/content/strokeaha/24/12/2111.full.pdf |
| PubMed reference number | 7902624v1 |
| Volume Number | 24 |
| Issue Number | 12 |
| Journal | Stroke |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | 2D Doppler Echocardiography Aneurysm, Dissecting Aortic Valve Insufficiency Aortic arch structure Aortography Carotid Arteries Carotid artery dissection Cerebral Infarction Cerebrovascular accident Chest Common carotid artery Diagnostic tests Echocardiography, Transesophageal Gastrointestinal Hemorrhage Hemiplegia National origin Pain Patients Ultrasonography, Doppler, Transcranial |
| Content Type | Text |
| Resource Type | Article |
