Open AccessFull-dose thrombolysis for a right middle cerebral artery stroke after an acute aortic dissection
Author(s) -
Syed Omar Kazmi,
Oliver Achi,
Rahul Damani
Publication year - 2018
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/aian.aian_78_18
Subject(s) - medicine , thrombolysis , middle cerebral artery , aortic dissection , stroke (engine) , acute stroke , tissue plasminogen activator , cardiology , anesthesia , surgery , aorta , ischemia , mechanical engineering , myocardial infarction , engineering
Intravenous recombinant tissue plasminogen activator (IV r-tpa) is the standard of care for patients suffering from neurological deficits due to an acute ischemic stroke within 4.5 hours in the absence of intracranial hemorrhage. We report a case of a patient with an acute right middle cerebral artery stroke due to an acute aortic dissection (Stanford Type A) who was treated with full dose IV r-tpa resulting in a good outcome.