ID | 63258 |
FullText URL | |
Author |
Morihara, Ryuta
Departments of Neurology, Dentistry, and Pharmaceutical Sciences, Graduate School of Medicine, Okayama University
ORCID
Kaken ID
researchmap
Yamashita, Toru
Departments of Neurology, Dentistry, and Pharmaceutical Sciences, Graduate School of Medicine, Okayama University
ORCID
Kaken ID
researchmap
Deguchi, Kentaro
Departments of Neurology, Dentistry, and Pharmaceutical Sciences, Graduate School of Medicine, Okayama University, Japan
ORCID
Kaken ID
publons
Tsunoda, Keiichiro
Departments of Neurology, Dentistry, and Pharmaceutical Sciences, Graduate School of Medicine, Okayama University, Japan
ORCID
Manabe, Yasuhiro
Department of Neurology, Okayama National Hospital Medical Center, Japan
Takahashi, Yoshiaki
Department of Neurology, Okayama National Hospital Medical Center, Japan
Yunoki, Taijun
Departments of Neurology, Dentistry, and Pharmaceutical Sciences, Graduate School of Medicine, Okayama University, Japan
Sato, Kota
Departments of Neurology, Dentistry, and Pharmaceutical Sciences, Graduate School of Medicine, Okayama University, Japan
ORCID
Nakano, Yumiko
Departments of Neurology, Dentistry, and Pharmaceutical Sciences, Graduate School of Medicine, Okayama University, Japan
ORCID
Kono, Syoichiro
Department of Neurology, Okayama National Hospital Medical Center, Japan
Ohta, Yasuyuki
Departments of Neurology, Dentistry, and Pharmaceutical Sciences, Graduate School of Medicine, Okayama University, Japan
Kaken ID
researchmap
Hishikawa, Nozomi
Departments of Neurology, Dentistry, and Pharmaceutical Sciences, Graduate School of Medicine, Okayama University, Japan
Kaken ID
Abe, Koji
Departments of Neurology, Dentistry, and Pharmaceutical Sciences, Graduate School of Medicine, Okayama University, Japan
Kaken ID
publons
researchmap
|
Abstract | The diagnosis of aortic dissection (AD) is sometimes difficult within the limited time window of recombinant tissue plasminogen activator (tPA) for ischemic stroke (IS). A 60-year-old man developed sudden left hemiparesis due to IS. During tPA infusion, his blood pressure dropped and consciousness declined. After transfer to our hospital, carotid duplex ultrasonography led to a diagnosis of AD. Emergency surgery was postponed because of the risk of hemorrhagic transformation. The patient successfully underwent aortic surgery on day 5 and was discharged with a remarkable improvement in his symptoms. Delayed surgery may avoid hemorrhagic transformation in patients with AD-induced IS who have received tPA.
|
Note | Internal Medicine, 2017, 56(17), 2343-2346
|
Published Date | 2017-09-01
|
Publication Title |
Internal Medicine
|
Volume | volume56
|
Issue | issue17
|
Publisher | Japanese Society of Internal Medicine
|
Start Page | 2343
|
End Page | 2346
|
ISSN | 0918-2918
|
NCID | AA10827774
|
Content Type |
Journal Article
|
language |
English
|
OAI-PMH Set |
岡山大学
|
Copyright Holders | © 2017 The Japanese Society of Internal Medicine
|
File Version | publisher
|
PubMed ID | |
DOI | |
Web of Science KeyUT | |
Related Url | isVersionOf https://doi.org/10.2169/internalmedicine.8438-16
|
License | https://creativecommons.org/licenses/by-nc-nd/4.0/
|
Funder Name |
Japan Society for the Promotion of Science
Ministry of Education, Culture, Sports, Science and Technology
|
助成番号 | 2529320216
24591263
24659651
|