Aortic dissection presenting as stroke

72F, presenting as right MCA infarct.

2015/10/10 on FB:
沒有血壓低,Aphasia,left side hemiplegia,沒有血壓差異,沒有mediastinal widening。Idea的來源是中風routine survey的Duplex,神經科連主任檢視時,看到頸動脈有異常的finding (非flap),技術員解讀為CCA stenosis,連主任疑可能是dissection上來的,所以排了CT,這段Echo是到ICU收的,也順便學習如何由不是flap的發現來診斷Dissection

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