雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A Case of Acute Aortic Dissection Presenting with Cerebral Ischemic Symptoms: Utility of 3D CT Angiography and CT Perfusion for the Diagnosis of Acute Stroke Hirokazu Koseki 1 , Yasuhiro Kuroi 1 , Naoyuki Arai 1 , Hidenori Ohbuchi 1 , Kengo Hirota 1 , Shinji Hagiwara 1 , Shigeru Tani 1 , Atsushi Sasahara 1 , Hidetoshi Kasuya 1 1Department of Neurosurgery, Tokyo Women's Medical University Medical Center East Keyword: 三次元CT血管造影 , CT灌流画像 , 大動脈解離 , 脳卒中 , 脳虚血症状 , acute aortic dissection (AAD) , CT perfusion (CTP) , 3D CT angiography (CTA) , cerebral ischemic symptoms , stroke pp.1001-1005
Published Date 2014/8/1
DOI https://doi.org/10.11477/mf.1416101871
  • Abstract
  • Look Inside
  • Reference

Abstract

A 76-year-old woman presented at our hospital complaining of loss of consciousness, dysarthria, and upper extremity paresis. Head CT showed no remarkable findings. 3D CT angiography (CTA) and CT perfusion (CTP) revealed acute aortic dissection (AAD) involving the innominate artery and decreased cerebral blood flow in the right cerebral hemisphere, although there were no clinical signs of AAD. The patient underwent emergency allograft replacement performed by cardiovascular surgeons. The symptoms disappeared within several days and no cerebral infarction developed. Although patients with AAD and neurological symptoms can show a fatal course when they receive tissue plasminogen activator (tPA), it is difficult to exclude patient with AAD as candidates for tPA treatment. Routine use of 3D CTA and CTP in the diagnosis of acute stroke may help overcome the above problem.

(Received October 7, 2013; Accepted January 17, 2014; Published August 1, 2014)


Copyright © 2014, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1344-8129 印刷版ISSN 1881-6096 医学書院

関連文献

もっと見る

文献を共有