Consideration of two cases of ascending @entity1580 that began with XXXX -like symptoms.

@entity1 @entity64 @entity548 @entity1269 @entity51 @entity1188 @entity490 @entity158 @entity732 @entity3479 @entity1580 @entity385
We recently experienced two @entity1 with @entity64 -like symptoms and ascending @entity1580 (AAD) in our outpatient department. Both @entity1 were transferred to our hospital presenting with @entity51 such as @entity1269 and conjugate deviation. They did not complain from any chest or @entity490 . Their MRI did not show fresh @entity1188 or main @entity732 . A chest CT image showed AAD. The former @entity1 was immediately transferred to a tertiary hospital and the latter received conservative management in the cardiovascular department. Discussion. As neither @entity1 was experiencing any @entity158 , we initially diagnosed them with @entity385 and began treatment. Fortunately, @entity548 complications did not occur. In such cases, problems are caused when intravenous @entity3479 ) injection is administered with the aim of reopening the occluded intracranial arteries. In fact, @entity1 with AAD undergoing t-PA injection have been reported to die from @entity548 complications without any recognition of the dissection. These findings suggest that confirmation using carotid ultrasound, carotid MR angiography, and a D-dimer test is crucial and should be adopted in emergency departments.
