Endovascular treatment of an acute left middle cerebral artery6 h post stroke in a patient presenting with dysphasia and dense right hemiplegia
| Autor: | Elias E Kehdi, Alan McDougall, Kenny Chan, Dennis Cordato, Glen Schlaphoff |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors medicine.medical_treatment Infarction Hemiplegia Global aphasia Balloon Tissue plasminogen activator Left middle cerebral artery Fibrinolytic Agents medicine.artery Angioplasty medicine Humans Thrombolytic Therapy cardiovascular diseases business.industry Infarction Middle Cerebral Artery medicine.disease Surgery Treatment Outcome Tissue Plasminogen Activator Middle cerebral artery Emergency Medicine business Deglutition Disorders Fibrinolytic agent Angioplasty Balloon medicine.drug |
| Zdroj: | Emergency medicine Australasia : EMA. 20(1) |
| ISSN: | 1742-6723 |
| Popis: | This paper describes the case of a 32-year-old man presenting with dense right hemiplegia and global aphasia caused by an acute left middle cerebral artery infarct that underwent successful endovascular therapy after being determined ineligible for intravenous tissue plasminogen activator. Clot transversion and balloon disruption followed by intra-arterial Alteplase resulted in successful re-canalization of his middle cerebral artery at 7 h 30 min. At 3 months post stroke, the patient had moderately severe expressive dysphasia but was mobilizing independently with normal right upper and lower limb strength. In conclusion, the 3 month outcome suggests that the therapeutic time window for endovascular therapy might exceed 6 h post stroke. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text