An extensive chronic aortic dissection presenting with acute embolic stroke. Issue 5 (13th October 2017)

• Record Type: Journal Article
• Authors: Basnet, Sijan; Mainali, Naba Raj; Tharu, Biswaraj; Dhital, Rashmi; Poudel, Dilli Ram
• Is Part Of: Journal of community hospital internal medicine perspectives. Volume 7:Issue 5(2017)
• Page Start: 314
• Page End: 317
• Publication Date: 2017-10-13
• Subjects: Chronic aortic dissection -- beta blockers -- stroke -- seizure -- imaging; Internal medicine -- Periodicals; Hospitals -- Periodicals; Hospitals, Community; Internal Medicine; Hospitals; Internal medicine; Periodicals; Periodicals; 610
• DOI: 10.1080/20009666.2017.1379854
• Languages: English
• ISSNs: 2000-9666

Abstract

ABSTRACT: Herein, we present a rare case of extensive chronic aortic dissection with extension to bilateral subclavian arteries, bilateral common carotid arteries, right internal carotid artery, bilateral proximal external iliac arteries and simultaneous presentation of acute embolic stroke and seizure. The rarity of this case presentation and the presence of neurological features necessitated a high index of clinical suspicion to reach the definitive diagnosis. This study also demonstrates a unique situation requiring correlation between chronic aortic dissection and multi-organ system dysfunction from chronic ischemia.