Full-Dose Thrombolysis for a Right Middle Cerebral Artery Stroke after an Acute Aortic Dissection

Ann Indian Acad Neurol. 2018 Jul-Sep;21(3):223-224. doi: 10.4103/aian.AIAN_78_18.


Intravenous recombinant tissue plasminogen activator (IV r-tpa) is the standard of care for patients suffering from neurological deficits due to an acute ischemic stroke within 4.5 hours in the absence of intracranial hemorrhage. We report a case of a patient with an acute right middle cerebral artery stroke due to an acute aortic dissection (Stanford Type A) who was treated with full dose IV r-tpa resulting in a good outcome.

Keywords: Acute ischemic stroke; aortic dissection; good outcome; thrombolysis.

Publication types

  • Case Reports