Aortic dissection complicated by posterior circulation ischemic strokes
Diagnosis certain
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Extensive aortic dissection beginning in the ascending aorta and extending into the abdominal aorta. Note the origin of the left vertebral from the aortic arch.
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Selected axial images demonstrate bilateral hypodensities representing ischemic infarcts.
Case Discussion
Ischemic stroke is the most common neurologic complication of aortic dissection.