Cerebral infarction due to painless thoracic aortic and common carotid artery dissections

Stroke; a Journal of Cerebral Circulation
C Veyssier-BelotM G Bousser

Abstract

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. 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. 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.

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Citations

Feb 7, 2007·The Kaohsiung Journal of Medical Sciences·Kuan-Ting LiuTzeng-Jih Lin
Jun 13, 2015·Case Reports in Emergency Medicine·Manan ParikhJames Martin
Sep 21, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Victor ZachJesse M Weinberger
Sep 10, 2010·The American Journal of Emergency Medicine·Ching-Yi ChenChia-Te Kung
Jun 24, 2004·Headache·Jan MathysThomas Herren
Jul 13, 2002·Chest·Ijaz A Khan, Chandra K Nair
Oct 2, 2007·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Kentaro KawarabukiTarumi Yamaki
Aug 17, 2011·Thrombosis Research·Ivan StevicAnthony K C Chan
Aug 12, 2005·Seminars in Oncology Nursing·Ronald C Evans, Anthony L Rosner
Mar 4, 2014·Asian Cardiovascular & Thoracic Annals·Satoshi YamashiroYukio Kuniyoshi
Jan 7, 2009·Therapeutic Advances in Cardiovascular Disease·Pawan D Patel, Rohit R Arora
Jan 22, 2020·The Journal of Thoracic and Cardiovascular Surgery·Ibrahim SultanThomas G Gleason

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