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以缺血性脑卒中为表现形式的主动脉夹层:一例报告

Ischemic Stroke as a Form of Presentation of Aortic Dissection: A Case Report.

作者信息

Carrillo-Alfonso Noélia, Mugeiro Marta, Amado Inês, Ruivo Ernesto, Lares Ana

机构信息

Anesthesiology, Centro Hospitalar Universitário do Algarve, Faro, PRT.

出版信息

Cureus. 2024 Jan 24;16(1):e52866. doi: 10.7759/cureus.52866. eCollection 2024 Jan.

Abstract

Aortic dissection is a rare condition with a high mortality rate, the clinical manifestations of which depend on the involvement of aortic branches. We describe the case of a male patient with neurological deficits accompanied by dorsal-lumbar pain and exuberant sympathetic hyperactivity, diagnosed with ascending and descending aorta dissection, initially managed in the prehospital setting. This case reinforces the importance of maintaining high levels of suspicion for rare causes of cerebrovascular accidents.

摘要

主动脉夹层是一种死亡率很高的罕见病症,其临床表现取决于主动脉分支的受累情况。我们描述了一例男性患者,伴有神经功能缺损、腰背部疼痛和明显的交感神经过度活跃,诊断为升主动脉和降主动脉夹层,最初在院前环境中进行处理。该病例强化了对脑血管意外罕见病因保持高度怀疑的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/741b/10889547/8d9946a9f02b/cureus-0016-00000052866-i01.jpg

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