MR imaging-based decision in thrombolytic therapy for stroke on awakening: report of 2 cases.

نویسندگان

  • C Iosif
  • C Oppenheim
  • D Trystram
  • V Domigo
  • J-F Méder
چکیده

Patients with stroke on awakening are denied the potential benefit of thrombolysis on the grounds that the onset time is unknown. Relying on clinical and MR imaging to indicate the most appropriate treatment could be more rational. We report 2 cases of stroke with unknown onset time. In both cases, anamnesis and MR imaging indicated that we might still be within 6 hours from stroke onset, with salvageable tissue. Arterial recanalization was successfully performed in both cases.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Thrombolytic Therapy for Cerebral Vein Thrombosis in Antiphospholipid Syndrome Secondary to Systemic Lupus Erythematosus

A 20-year-old woman was admitted to a Gynecology Hospital in her 6th month of pregnancy for high blood pressure and tonic-clonic seizure. Primary diagnosis was eclampsia, and for that reason she underwent cesarean section. She also had headache on frontal and parietal areas without nausea or vomiting. There was not a focal neurological sign. Rheumatology consultation was requested. Systemic lup...

متن کامل

Safety and feasibility of intravenous thrombolytic therapy in Iranian patients with acute ischemic stroke

  Background: Thrombolytic therapy is the only approved treatment for acute cerebral ischemia. The hemorrhagic transformation is the greatest complication of this treatment, which may occur after recanalization of occluded artery. The aim of this study was to determine factors associated with clinical improvement and worsening in patients with acute ischemic stroke treated with intravenous th...

متن کامل

Imaging-based decision making in thrombolytic therapy for ischemic stroke: present status.

BACKGROUND Thrombolysis is the treatment of choice for acute stroke within 3 hours after symptom onset. Treatment beyond the 3-hour time window has not been shown to be effective in any single trial; however, meta-analyses suggest a somewhat lesser but still significant effect within 3 to 6 hours after stroke. It seems reasonable to apply improved selection criteria that allow differentiation b...

متن کامل

Diagnosis of stroke with advanced CT and MR imaging.

There have been important advances in stroke imaging, including CT perfusion imaging, xenon-CT, CT angiography, MR diffusion imaging, MR perfusion imaging, MR angiography and haemorrhage-sensitive gradient echo MR sequences. The technical principles and clinical applications of these methods are explained. An emphasis is made on the diagnosis of hyperacute cerebral ischaemia and issues surround...

متن کامل

Stroke on awakening and the tissue window for thrombolysis.

www.thelancet.com/neurology Vol 10 November 2011 951 Ischaemic stroke occurs unwitnessed or in sleep in as many as a quarter of cases. However, the decision to give thrombolytic stroke treatment is made on the basis of time since symptom onset, and the eff ectiveness of treatment is time dependent—late treatment is associated with a slight increase in harm and, more importantly, is ineff ective...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • AJNR. American journal of neuroradiology

دوره 29 7  شماره 

صفحات  -

تاریخ انتشار 2008