Subject(s)
Brain Ischemia , Endovascular Procedures , Stroke , Humans , Stroke/surgery , Brain Ischemia/therapy , Brain , Treatment OutcomeABSTRACT
The authors present a case in which intravenous thrombolysis with recombinant tissue plasminogen activator (rt-PA) potentially saved a young man from locked-in syndrome or life threatening consequences. The patient presented with acute stroke secondary to vertebral artery dissection and was treated with intravenous rt-PA. There were no post thrombolysis complications and the patient left hospital with mild neurological symptoms. Our report suggests that in cases of acute posterior circulation stroke due to arterial dissection, treatment with intravenous thrombolysis is safe, practicable and effective.
Subject(s)
Brain Stem Infarctions/etiology , Fibrinolytic Agents/therapeutic use , Quadriplegia/prevention & control , Thrombolytic Therapy/methods , Tissue Plasminogen Activator/therapeutic use , Vertebral Artery Dissection/complications , Vertebrobasilar Insufficiency/drug therapy , Adult , Brain Stem Infarctions/diagnosis , Humans , Male , Vertebral Artery Dissection/diagnosis , Vertebrobasilar Insufficiency/diagnosis , Vertebrobasilar Insufficiency/etiologyABSTRACT
The authors present a case of a young woman who presented with transient episodes of left-sided weakness after she fell off a horse. She attended Emergency Department twice before being referred to the Stroke clinic, where she was diagnosed with carotid artery dissection.