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Late intra-arterial thrombolysis

Stapf, C.; Marshall, R.S.; Mohr, J.P.; Duong, H.D.; Brunson, J.C.; Benson, R.T.; Mast, H.

European Journal of Medical Research 5(7): 303-306

2000

ISSN/ISBN: 0949-2321
PMID: 10903190
Document Number: 525364
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.

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