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

被引:24
作者
Iosif, C. [1 ]
Oppenheim, C. [1 ]
Trystram, D. [1 ]
Donnigo, V. [2 ]
Meder, J. -F. [1 ]
机构
[1] Univ Paris 05, Dept Neuroradiol, Ctr Hosp St Anne, F-75674 Paris 14, France
[2] Univ Paris 05, Dept Neurol, Ctr Hosp St Anne, F-75674 Paris, France
关键词
D O I
10.3174/ajnr.A1069
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Patients with stroke on awakening are denied the potential benefit of thrombolysis an 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.
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页码:1314 / 1316
页数:3
相关论文
共 7 条
[1]   The stroke patient who woke up - Clinical and radiological features, including diffusion and perfusion MRI [J].
Fink, JN ;
Kumar, S ;
Horkan, C ;
Linfante, I ;
Selim, MH ;
Caplan, LR ;
Schlaug, G .
STROKE, 2002, 33 (04) :988-993
[2]   Perfusion CT helps decision making for thrombolysis when there is no clear time of onset [J].
Hellier, KD ;
Hampton, JL ;
Guadagno, JV ;
Higgins, NP ;
Antoun, NM ;
Day, DJ ;
Gillard, JH ;
Warburton, EA ;
Baron, JC .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2006, 77 (03) :417-419
[3]  
Lansberg MG, 2001, AM J NEURORADIOL, V22, P637
[4]   Imaging-based decision making in thrombolytic therapy for ischemic stroke - Present status [J].
Schellinger, PD ;
Fiebach, JB ;
Hacke, W .
STROKE, 2003, 34 (02) :575-582
[5]   MRI-Based and CT-Based thrombolytic therapy in acute stroke within and beyond established time windows -: An analysis of 1210 patients [J].
Schellinger, Peter D. ;
Thomalla, Goetz ;
Fiehler, Jens ;
Koehrmann, Martin ;
Molina, Carlos A. ;
Neumann-Haefelin, Tobias ;
Ribo, Marc ;
Singer, Oliver C. ;
Zaro-Weber, Olivier ;
Sobesky, Jan .
STROKE, 2007, 38 (10) :2640-2645
[6]   Stroke on awakening:: Looking for a more rational management [J].
Serena, J ;
Dávalos, A ;
Segura, T ;
Mostacero, E ;
Castillo, J .
CEREBROVASCULAR DISEASES, 2003, 16 (02) :128-133
[7]   Role of CT angiography in thrombolysis decision-making for patients with presumed seizure at stroke onset [J].
Sylaja, PN ;
Dzialowski, I ;
Krol, A ;
Roy, J ;
Federico, P ;
Demchuk, AM .
STROKE, 2006, 37 (03) :915-917