Intravenous Recombinant Tissue Plasminogen Activator Thrombolysis in Acute Ischemic Stroke due to Middle Cerebral Artery Dissection

被引：23

作者：

Doijiri, Ryosuke ^{[1
]}

Yokota, Chiaki ^{[1
]}

Suzuki, Rieko ^{[1
]}

Toyoda, Kazunori ^{[1
]}

Minematsu, Kazuo ^{[1
]}

机构：

[1] Natl Cerebral & Cardiovasc Ctr, Dept Cerebrovasc Med, Suita, Osaka, Japan

来源：

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES | 2012年 / 21卷 / 08期

基金：

日本学术振兴会;

关键词：

Acute thrombolysis; acute brain infarction; spontaneous cerebral arterial dissection; magnetic resonance angiography;

D O I：

10.1016/j.jstrokecerebrovasdis.2012.02.003

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Beneficial effect of recombinant tissue plasminogen activator (rtPA) in cerebral arterial dissection is controversial. We experienced a 45-year-old man with acute ischemic stroke due to middle cerebral artery dissection, who was treated with rtPA. Characteristic vascular findings indicating dissection became evident only in subsequent angiographic examinations. Our case indicates that serial angiographic examinations should be essential after acute thrombolytic therapy, especially in young patients who are at a high risk of cerebral arterial dissection.

引用

页码：915.e7 / 915.e9

页数：3

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