| ID | 63258 |
| フルテキストURL | |
| 著者 |
Morihara, Ryuta
Departments of Neurology, Dentistry, and Pharmaceutical Sciences, Graduate School of Medicine, Okayama University
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Yamashita, Toru
Departments of Neurology, Dentistry, and Pharmaceutical Sciences, Graduate School of Medicine, Okayama University
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Deguchi, Kentaro
Departments of Neurology, Dentistry, and Pharmaceutical Sciences, Graduate School of Medicine, Okayama University, Japan
ORCID
Kaken ID
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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
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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
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| 抄録 | 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.
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| 備考 | Internal Medicine, 2017, 56(17), 2343-2346
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| 発行日 | 2017-09-01
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| 出版物タイトル |
Internal Medicine
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| 巻 | 56巻
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| 号 | 17号
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| 出版者 | Japanese Society of Internal Medicine
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| 開始ページ | 2343
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| 終了ページ | 2346
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| ISSN | 0918-2918
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| NCID | AA10827774
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| 資料タイプ |
学術雑誌論文
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| 言語 |
英語
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| OAI-PMH Set |
岡山大学
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| 著作権者 | © 2017 The Japanese Society of Internal Medicine
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| 論文のバージョン | publisher
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| PubMed ID | |
| DOI | |
| Web of Science KeyUT | |
| 関連URL | isVersionOf https://doi.org/10.2169/internalmedicine.8438-16
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| ライセンス | https://creativecommons.org/licenses/by-nc-nd/4.0/
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| 助成機関名 |
Japan Society for the Promotion of Science
Ministry of Education, Culture, Sports, Science and Technology
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| 助成番号 | 2529320216
24591263
24659651
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