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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
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Crucial role of carotid ultrasound for the rapid diagnosis of hyperacute aortic dissection complicated by cerebral infarction: A case report and literature review

1
Department of Neurology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
2
Department of Radiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
3
Institute of Physiology and Pharmacology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2016, 52(6), 378-388; https://doi.org/10.1016/j.medici.2016.11.001
Received: 24 January 2016 / Revised: 14 September 2016 / Accepted: 8 November 2016 / Published: 19 November 2016
Aortic dissection is a life-threatening rare condition that may virtually present by any organ system dysfunction, the nervous system included. Acute cerebral infarction among multiple other neurological and non-neurological presentations is part of this acute aortic syndrome. Rapid and correct diagnosis is of extreme importance keeping in mind the possibility of thrombolytic treatment if a patient with a suspected ischemic stroke arrives to the Emergency Department within a 4.5-h window after symptom onset. Systemic intravenous thrombolysis in the case of an acute brain infarction due to aortic dissection may lead to fatal outcomes. In this neurological emergency it is important to rule out underlying aortic dissection by choosing appropriately quick and accurate diagnostic tool. We aimed to present a prospective follow-up case, where carotid ultrasound examination was the primary key method that led to a correct diagnosis in hyperacute (<24 h) Stanford type A aortic dissection presenting as an acute ischemic stroke, and thereafter with a repeated contrast-enhanced computed tomog- raphy and transthoracic echocardiography, helped to monitor topography of intravascular processes and hemodynamic properties during the clinical course of a disease, which influenced treatment decisions. Thus, we reviewed the literature mainly focusing on the various neurological aspects associated with aortic dissection.
Keywords: Aortic dissection; Aortic imaging; Carotid ultrasound; Cerebral infarction; Neurological complications Aortic dissection; Aortic imaging; Carotid ultrasound; Cerebral infarction; Neurological complications
MDPI and ACS Style

Sukockienė, E.; Laučkaitė, K.; Jankauskas, A.; Mickevičienė, D.; Jurkevičienė, G.; Vaitkus, A.; Stankevičius, E.; Petrikonis, K.; Rastenytė, D. Crucial role of carotid ultrasound for the rapid diagnosis of hyperacute aortic dissection complicated by cerebral infarction: A case report and literature review. Medicina 2016, 52, 378-388.

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