Case Report
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World J Clin Cases. Aug 26, 2022; 10(24): 8673-8678
Published online Aug 26, 2022. doi: 10.12998/wjcc.v10.i24.8673
Beware of the DeBakey type I aortic dissection hidden by ischemic stroke: Two case reports
Su-Qin Chen, Wei-Liang Luo, Wu Liu, Li-Zhi Wang
Su-Qin Chen, Wei-Liang Luo, Wu Liu, Li-Zhi Wang, Department of Neurology, Huizhou Central People's Hospital, Huizhou 516001, Guangdong Province, China
Author contributions: Chen SQ and Luo WL contributed to manuscript writing and editing; Luo WL contributed to conceptualization and supervision; Liu W and Wang LZ contributed to data collection and data analysis; All authors have read and approved the final manuscript.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei-Liang Luo, MD, Chief Doctor, Department of Neurology, Huizhou Central People's Hospital, No. 41 Eling North Road, Huizhou 516001, Guangdong Province, China. lwl306@126.com
Received: February 12, 2022
Peer-review started: February 12, 2022
First decision: May 30, 2022
Revised: June 13, 2022
Accepted: July 22, 2022
Article in press: July 22, 2022
Published online: August 26, 2022
Processing time: 184 Days and 16.2 Hours
Core Tip

Core Tip: Aortic dissection should always be excluded in ischemic patients with unexplained hypotension or shock symptoms before intravenous thrombolytic therapy. These two painless DeBakey Type I aortic dissection cases with initial symptoms similar to ischemic stroke intravenous thrombolysis was avoided because of timely diagnosis.