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ID 63258
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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
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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