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Endovascular treatment of an acute left middle cerebral artery >6 h post stroke in a patient presenting with dysphasia and dense right hemiplegia
Author(s) -
Chan Kenny,
Cordato Dennis J,
Kehdi Elias E,
Schlaphoff Glen,
McDougall Alan
Publication year - 2008
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/j.1742-6723.2007.01051.x
Subject(s) - medicine , middle cerebral artery , aphasia , stroke (engine) , endovascular treatment , acute stroke , thrombolysis , tissue plasminogen activator , cardiology , surgery , ischemia , myocardial infarction , mechanical engineering , psychiatry , engineering , aneurysm
This paper describes the case of a 32‐year‐old man presenting with dense right hemiplegia and global aphasia caused by an acute left middle cerebral artery infarct that underwent successful endovascular therapy after being determined ineligible for intravenous tissue plasminogen activator. Clot traversion and balloon disruption followed by intra‐arterial Alteplase resulted in successful re‐canalization of his middle cerebral artery at 7 h 30 min. At 3 months post stroke, the patient had moderately severe expressive dysphasia but was mobilizing independently with normal right upper and lower limb strength. In conclusion, the 3 month outcome suggests that the therapeutic time window for endovascular therapy might exceed 6 h post stroke.