Article Text

Download PDFPDF
Intravenous tPA in the treatment of acute stroke related to aortic dissection
  1. Vikram Shivkumar and
  2. Dipali Nemade
  1. Department of Neurology, Marshall University School of Medicine, Huntington, West Virginia, USA
  1. Correspondence to Dr Vikram Shivkumar, shivkumar{at}


A 61-year-old woman with no prior medical illness presented with acute onset stroke symptoms. She had no chest pain at the time of presentation. However, CT angiogram showed an extensive aortic dissection, resulting in hypoperfusion of the right cerebral hemisphere and thus causing stroke symptoms. Due to this finding, tissue plasminogen activator was not given and a negative outcome was avoided.

  • stroke
  • cardiovascular medicine
  • neurology
View Full Text

Statistics from


  • Contributors VS and DN were involved in the care of the patient in the emergency room. VS and DN performed the literature review. DN obtained the images and wrote the case history. VS was responsible for the discussion and the other parts of the manuscript. Both authors have reviewed the manuscript. VS is the corresponding author and also obtained the consent from the patient.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.