Intravenous thrombolytic treatment in a patient with transient ischemic attack associated with mural carotid thrombi

被引：3

作者：

Yaka, Erdem ^{[1
]}

Men, Suleyman ^{[2
]}

Ozturk, Vesile ^{[1
]}

Kutluk, Kursad ^{[1
]}

机构：

[1] Dokuz Eylul Univ, Fac Med, Dept Neurol, Izmir, Turkey

[2] Dokuz Eylul Univ, Fac Med, Dept Radiol, Izmir, Turkey

来源：

CLINICAL NEUROLOGY AND NEUROSURGERY | 2011年 / 113卷 / 05期

关键词：

Floating common carotid artery thrombus; Intravenous recombinant tissue plasminogen activator; Transient ischemic attack; STROKE COUNCIL; MANAGEMENT; STATEMENT; CIRCULATION; GUIDELINES; THERAPY; TISSUE;

D O I：

10.1016/j.clineuro.2010.12.017

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 77-year old man experiencing frequent transient ischemic attacks for five days was admitted to our hospital. Radiological examinations including brain computed tomography, supraaortic computed tomography angiography were performed. Supraaortic computed tomography angiography revealed two thrombi in common carotid artery. Thrombi were located proximally, one of which was elongated and adhared to the arterial wall and the other one was located below bifurcation of left carotid artery. Since the case has been categorized as a high risk patient for ischemic stroke despite the normal neurological status, intravenous recombinant tissue plasminogen activator was given. Ischemic attacks completely ceased soon after thrombolysis. Control computed tomography angiography revealed normal findings with patent carotid artery, without any clot. To our knowledge this is the only case of transient ischemic attack treated with intravenous recombinant tissue plasminogen activator in the literature with the score of 0 on the National Institutes of Health Stroke Scale. (C) 2011 Elsevier B.V. All rights reserved.

引用

页码：416 / 418

页数：3

共 11 条

[1] Guidelines for thrombolytic therapy for acute stroke: A supplement to the guidelines for the management of patients with acute ischemic stroke - A statement for healthcare professionals from a special writing group of the stroke council, American Heart Association [J].

Adams, HP ;

Brott, TG ;

Furlan, AJ ;

Gomez, CR ;

Grotta, J ;

Helgason, CM ;

Kwiatkowski, T ;

Lyden, PD ;

Marler, JR ;

Torner, J ;

Feinberg, W ;

Mayberg, M ;

Thies, W .

CIRCULATION, 1996, 94 (05) :1167-1174

[2] Guidelines for the early management of patients with ischemic stroke - A scientific statement from the Stroke Council of the American Stroke Association [J].

Adams, HP ;

Adams, RJ ;

Brott, T ;

del Zoppo, GJ ;

Furlan, A ;

Goldstein, LB ;

Grubb, RL ;

Higashida, R ;

Kidwell, C ;

Kwiatkowski, TG ;

Marler, JR ;

Hademenos, GJ .

STROKE, 2003, 34 (04) :1056-1083

[3]

[Anonymous], NEUROLOGY

[4] INTRALUMINAL THROMBUS IN THE CEREBRAL-CIRCULATION - IMPLICATIONS FOR SURGICAL-MANAGEMENT [J].

BUCHAN, A ;

GATES, P ;

PELZ, D ;

BARNETT, HJM .

STROKE, 1988, 19 (06) :681-687

[5] INTRALUMINAL CLOT OF THE CAROTID-ARTERY DETECTED RADIOGRAPHICALLY [J].

CAPLAN, L ;

STEIN, R ;

PATEL, D ;

AMICO, L ;

CASHMAN, N ;

GEWERTZ, B .

NEUROLOGY, 1984, 34 (09) :1175-1181

[6] Resolved: Heparin may be useful in selected patients with brain ischemia [J].

Caplan, LR .

STROKE, 2003, 34 (01) :230-231

[7]

Combe J, 1990, Ann Vasc Surg, V4, P558, DOI 10.1016/S0890-5096(06)60839-X

[8]

Ferrero Emanuele, 2009, Interact Cardiovasc Thorac Surg, V8, P496, DOI 10.1510/icvts.2008.198754

[9] Thrombolysis targeting MRI defined tissue at risk in minor stroke [J].

Kruetzelmann, A. ;

Siemonsen, S. ;

Gerloff, C. ;

Rosenkranz, M. ;

Roether, J. ;

Fiehler, J. ;

Thomalla, G. .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2009, 80 (10) :1156-1158

[10] TISSUE-PLASMINOGEN ACTIVATOR FOR ACUTE ISCHEMIC STROKE [J].

MARLER, JR ;

BROTT, T ;

BRODERICK, J ;

KOTHARI, R ;

ODONOGHUE, M ;

BARSAN, W ;

TOMSICK, T ;

SPILKER, J ;

MILLER, R ;

SAUERBECK, L ;

JARRELL, J ;

KELLY, J ;

PERKINS, T ;

MCDONALD, T ;

RORICK, M ;

HICKEY, C ;

ARMITAGE, J ;

PERRY, C ;

THALINGER, K ;

RHUDE, R ;

SCHILL, J ;

BECKER, PS ;

HEATH, RS ;

ADAMS, D ;

REED, R ;

KLEI, M ;

HUGHES, S ;

ANTHONY, J ;

BAUDENDISTEL, D ;

ZADICOFF, C ;

RYMER, M ;

BETTINGER, I ;

LAUBINGER, P ;

SCHMERLER, M ;

MEIROSE, G ;

LYDEN, P ;

RAPP, K ;

BABCOCK, T ;

DAUM, P ;

PERSONA, D ;

BRODY, M ;

JACKSON, C ;

LEWIS, S ;

LISS, J ;

MAHDAVI, Z ;

ROTHROCK, J ;

TOM, T ;

ZWEIFLER, R ;

DUNFORD, J ;

ZIVIN, J .

NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (24) :1581-1587

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