Multimodal computed tomography evaluation before thrombolysis in acute ischaemic stroke.
Hong Kong Med J
; 14(3): 236-9, 2008 Jun.
Article
em En
| MEDLINE
| ID: mdl-18525096
ABSTRACT
Currently, when stroke patients are offered thrombolytic therapy, their ischaemic stroke subtypes are usually unknown. Given the risk of haemorrhage that accompanies thrombolytic therapy, unselective (or undiscriminating) use of recombinant tissue plasminogen activator in patients without large-artery thromboemboli is potentially hazardous. Advances in computed tomography techniques have enabled the stroke pathophysiology to be quickly delineated by multimodal computed tomography without compromise in time for recombinant tissue plasminogen activator administration. Through description of the investigation of a typical stroke patient, we report how this technique is feasible in a regional hospital and may guide judicious use of recombinant tissue plasminogen activator.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tomografia Computadorizada por Raios X
/
Isquemia Encefálica
/
Acidente Vascular Cerebral
Limite:
Aged80
/
Female
/
Humans
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article