Late intra-arterial thrombolysis.

Autor: Stapf C; Stroke Center/The Neurological Institute, Columbia University College of Physicians & Surgeons, New York, NY, USA. cs585@columbia.edu, Marshall RS, Mohr JP, Duong HD, Brunson JC, Benson RT, Mast H
Jazyk: angličtina
Zdroj: European journal of medical research [Eur J Med Res] 2000 Jul 19; Vol. 5 (7), pp. 303-6.
Abstrakt: A 70-year-old woman with a progressive dominant hemisphere syndrome but only mild hemiparesis and a normal brain scan (>3 hours from stroke onset) showed angiographic occlusion of the left anterior cerebral artery and the middle cerebral artery at its trifurcation with preservation of the rolandic artery. Intra-arterial thrombolysis was started >6 hours from onset of symptoms. Recanalization occurred and the patient recovered with a transcortical motor aphasia and no motor deficit. A negative brain scan and an incomplete large hemispheric syndrome may indicate an extended time-window for intra-arterial thrombolysis.
Databáze: MEDLINE