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Carotid Artery Dissection and Ischemic Stroke Originating from Localized Aortic Arch Dissection
Teppei Kamimura1, Eiichi Nomura1, Naoyuki Hara1
1Department of Neurology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Abstract:
Aortic dissection is an infrequent but important cause of acute ischemic stroke (AIS), and must not be overlooked because of a possible worse outcome, especially with the use of an intravenous recombinant tissue plasminogen activator. We report a case of left carotid artery dissection and AIS originating from localized aortic arch dissection, pathologically caused by cystic medial necrosis in the tunica media.
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