Key result
Cervical MRA is a useful auxiliary imaging tool not only for evaluating cerebral infarction but also for diagnosing painless acute aortic dissection in patients presenting with acute stroke symptoms.
Why the study?
Differentiating acute aortic dissection presenting with cerebral ischemic symptoms is critical to avoid inappropriate rt-PA therapy and properly diagnose this fatal condition.
Case Report (n=2)
No
Cervical MRA and its source images are useful adjunctive tools for detecting painless acute aortic dissection in patients presenting with acute ischemic stroke, helping to avoid inappropriate thrombolytic therapy.
May prompt cervical MRA review in acute stroke to exclude aortic dissection; leaves open prospective validation of routine use.
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Takahashi et al. (2020) conducted a case report in Acute ischemic stroke caused by painless acute aortic dissection (n=2). Cervical MRA was evaluated. Cervical MRA is a useful auxiliary imaging tool not only for evaluating cerebral infarction but also for diagnosing painless acute aortic dissection in patients presenting with acute stroke symptoms.
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