Oral clopidogrel load in aspirin-resistant Capsular warning syndrome

被引:37
作者
Fahey, CD [1 ]
Alberts, MJ [1 ]
Bernstein, RA [1 ]
机构
[1] Northwestern Univ, Feinberg Sch Med, Ken & Ruth Davee Dept Neurol & Clin Neurol Sci, Stroke Program, Chicago, IL 60611 USA
关键词
ischemic stroke; antiplatelet therapy; transient ischemic attack; acute brain ischemia; Capsular warning syndrome;
D O I
10.1385/NCC:2:2:183
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Introduction: Capsular warning syndrome (CWS) carries a significant risk of permanent stroke. There are no proven therapies for preventing completed stroke in this unstable situation. Methods: Clinical observation in two patients with aspirin-resistant CWS treated with a loading dose of oral clopidogrel. Results: Both patients had excellent neurological outcome, although one sustained an asymptomatic brain infarction. Conclusion: High-dose oral clopidogrel plus aspirin merits formal evaluation in high-risk transient brain ischemia such as CWS, preferably in a randomized trial compared to aspirin alone.
引用
收藏
页码:183 / 184
页数:2
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