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

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• 作者：Ryosuke Doijiri ; MD ; Chiaki Yokota ; MD ; PhD ; ^{cyokota@hsp.ncvc.go.jp} ; Rieko Suzuki ; MD ; Kazunori Toyoda ; MD ; PhD ; Kazuo Minematsu ; MD ; PhD
• 关键词：Acute thrombolysis ; acute brain infarction ; spontaneous cerebral arterial dissection ; magnetic resonance angiography
• 刊名：Journal of Stroke and Cerebrovascular Diseases
• 出版年：2012
• 出版时间：November, 2012
• 年：2012
• 卷：21
• 期：8
• 页码：915.e7-915.e9
• 全文大小：217 K

文摘

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.