Open AccessSuccessful Mechanical Thrombectomy of Middle Cerebral Artery Occlusion 14 Hours after Stroke Onset
Author(s) -
Robin Bhattarai,
Karuna Tamrakar Karki,
Dinesh Kumar Thapa,
Navin Kumar Yadav
Publication year - 2021
Publication title -
eastern green neurosurgery
Language(s) - English
Resource type - Journals
eISSN - 2705-4489
pISSN - 2705-4470
DOI - 10.3126/egn.v3i01.38980
Subject(s) - medicine , stroke (engine) , middle cerebral artery , weakness , occlusion , aphasia , surgery , cardiology , ischemia , mechanical engineering , psychiatry , engineering
A 45-year-old patient with no significant past medical history presented to out-patient department with aphasia and right hand weakness with a National Institutes of Health Stroke Scale (NIHSS) of 10 and occlusion of the left middle cerebral artery (MCA) in the M1 segment. Last known normal time was 14hrs (wake up stroke). Immediate endovascular thrombectomy was performed 14 hours after symptom onset with complete recanalization and complete clinical recovery. Although mechanical thrombectomy is generally considered an effective alternative strategy up to 8 hours after stroke onset, selected patients with a large diffusion/perfusion mismatch and small infarct cores may benefit from an expanded therapeutic window.