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Thrombolysis in recurrent lacunar stroke: a case example
Author(s) -
Nguyen T. H.,
Vo D.,
Ngo M. B.,
Truong A. L. T.,
Bui C. Q.,
Nguyen L. K.,
Le T. V.
Publication year - 2008
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/j.1468-1331.2008.02334.x
Subject(s) - medicine , thrombolysis , lacunar stroke , stroke (engine) , internal capsule , cardiology , putamen , ischemic stroke , anesthesia , surgery , radiology , magnetic resonance imaging , ischemia , myocardial infarction , mechanical engineering , engineering , white matter
Background and purpose: We report a case of intravenous thrombolysis in a patient with early recurrent stroke. A 62‐year‐old man recovered nearly completely after a lacunar infarct of the left putamen. He suffered stroke recurrence 7 days later due to a new infarct in the left internal capsule. Intravenous alteplase 0.9 mg/kg was administered 40 min after the symptom onset resulting in significant neurologic improvement. Conclusion: Intravenous thrombolysis may be safe for early recurrent lacunar stroke in patients with relatively small risk of hemorrhage.