Neurology Expert Discusses Relationship Between Stroke and Previous Injury

I do frequently evaluate patients with stroke from a variety of sources who are admitted to or evaluated in the ER of an acute care hospital. MCA stroke can certainly occur after aortic dissection. However, given the little detail that is given here it seems likely that the history of hypertension and diabetes were the cause of aortic disease. Traumatic dissections can occur due to fairly minor trauma including head or neck trauma but this is usually in the vertebral arteries, not the aorta. An aortic dissection, in my experience, is not likely to be caused by trivial trauma. In addition, a delay of 38 days without intervening symptoms would be highly unusual.

Expert Bio

This highly qualified expert is board certified in neurology and has been practicing for 16+ years. He received his PhD degree from the University of Pennsylvania and completed his internship training at Graduate Hospital before concluding both his residency and fellowship trainings at the University of California, San Francisco. He is a fellow of the American Neurological Association and a member of various other professional associations, including the American Academy of Neurology and the Society for Neuroscience. He has published 70+ peer-reviewed journal articles, serves in the editorial board of 6+ renowned medical journals, and has received multiple honors for his work as an academic and practitioner. He lectures both nationally and internationally and is a former Assistant Professor at UCSF. Currently, he is the endowed chair of neurology and a Professor of neurology at a top 10 university in California.