Why the study?
Acute aortic dissection presenting as ischaemic stroke is challenging to diagnose, and administering thrombolysis in these cases can be catastrophic.
While thrombolysis in patients with acute aortic dissection presenting as ischaemic stroke is generally considered catastrophic, some patients may survive without severe complications after surgical intervention.
Aortic dissection must be excluded before thrombolysis in stroke mimics; case reports leave screening protocols open.
Acute aortic dissection (AAD) masquerading as ischaemic stroke can be a challenging diagnosis for clinicians and can pose complications for the patient. Type A dissections extending into the vessels of the brain and neck can cause cerebral hypoperfusion leading to strokes or stroke-like symptoms. Thrombolysis of ischaemic strokes caused due to aortic dissection can be catastrophic for the patient. We present a series of two cases of aortic dissection presenting as strokes which were thrombolysed and underwent surgical intervention for dissection but did not suffer catastrophic complications. We do not recommend to rule out dissection in acute stroke patients before thrombolysis.
No takes yet. Share an insight, caveat, or question.
Verma et al. (2023) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: