AI Article Synopsis
- DeBakey type I aortic dissection can mimic the symptoms of ischemic stroke, making early identification crucial to prevent severe complications.
- This report highlights two cases where patients exhibited sudden consciousness changes and limb weakness but were later diagnosed with aortic dissection after experiencing hypotension, avoiding the risks of inappropriate thrombolysis.
- Despite timely diagnosis, both patients unfortunately succumbed to ruptured aortic dissection, underscoring the importance of ruling out this condition in stroke-like presentations, especially when hypotension is present.
Article Abstract
Background: DeBakey type I aortic dissection is one of the rare etiologies of ischemic stroke. It is critical to identify arterial dissection before intravenous thrombolysis; otherwise, fatal hemorrhage may occur.
Case Summary: In this report, we described 2 painless DeBakey type I aortic dissection cases with initial symptoms similar to ischemic stroke. Sudden onset of conscious disturbance and limb weakness within minutes occurred in both cases. Hypotension was found in both cases. Thoracoabdominal computed tomography angiography was urgently performed due to unknown reason hypotension, and DeBakey type I aortic dissection was confirmed. Intravenous thrombolysis was avoided because of timely diagnosis; however, they both eventually died of ruptured aortic dissection.
Conclusion: Aortic dissection should always be excluded in ischemic stroke patients with unexplained hypotension or shock symptoms before intravenous thrombolytic therapy.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9453352 | PMC |
| http://dx.doi.org/10.12998/wjcc.v10.i24.8673 | DOI Listing |
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