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Related Experiment Video

Updated: Feb 4, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Acute ischemic stroke what is hidden behind?

Joaquín Valle Alonso¹, David Martin¹, Harriet Kinderman¹

¹Department of Emergency Medicine, Royal Bournemouth Hospital, Bournemouth, UK.

Journal of Cardiology Cases

|October 4, 2018

Summary

This summary is machine-generated.

Acute aortic dissection can mimic stroke symptoms without chest pain. Point-of-care ultrasound in the emergency department rapidly diagnosed aortic dissection, averting harmful thrombolysis and improving patient outcomes.

Keywords:

Acute aortic dissection Stroke Ultrasound

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Area of Science:

Cardiology
Neurology
Emergency Medicine

Background:

Acute aortic dissection (AAD) is a life-threatening condition.
Cerebral ischemic complications, such as stroke, occur in 18-30% of AAD cases.
Patients with AAD presenting with stroke may lack typical chest pain, complicating diagnosis.

Observation:

A 58-year-old male presented with sudden headache and left hemiparesis, initially diagnosed as ischemic stroke.
Cardiac point-of-care ultrasound (POCUS) performed in the emergency department revealed a type A aortic dissection.
CT aortic angiogram confirmed the diagnosis of aortic dissection.

Findings:

Prompt POCUS identified aortic dissection in a stroke patient without chest pain.
This diagnosis allowed for immediate surgical intervention instead of potentially harmful thrombolysis (recombinant tissue plasminogen activator).
The patient experienced a favorable outcome following surgical management.

Implications:

AAD should be considered in patients presenting with acute ischemic stroke, even without chest pain.
POCUS is a valuable tool for emergency physicians to rapidly diagnose AAD in stroke patients.
Early diagnosis and appropriate management of AAD in stroke mimics can prevent adverse outcomes and mortality.