MR Imaging-based Decision in Thrombolytic Therapy for Stroke on Awakening: Report of 2 Cases

Overview

Journal AJNR Am J Neuroradiol

Specialty Neurology

Date 2008 Apr 5

PMID 18388211

Citations 7

Authors

C Iosif

C Oppenheim

D Trystram

V Domigo

J-F Meder

Affiliations

Soon will be listed here.

Abstract

Patients with stroke on awakening are denied the potential benefit of thrombolysis on the grounds that the onset time is unknown. Relying on clinical and MR imaging to indicate the most appropriate treatment could be more rational. We report 2 cases of stroke with unknown onset time. In both cases, anamnesis and MR imaging indicated that we might still be within 6 hours from stroke onset, with salvageable tissue. Arterial recanalization was successfully performed in both cases.

Citing Articles

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Wake-up stroke and CT perfusion: effectiveness and safety of reperfusion therapy.

Caruso P, Naccarato M, Furlanis G, Ajcevic M, Stragapede L, Ridolfi M Neurol Sci. 2018; 39(10):1705-1712.

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Intravenous thrombolysis in unwitnessed stroke onset: MR WITNESS trial results.

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What to do With Wake-Up Stroke.

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Wake-up stroke and stroke of unknown onset: a critical review.

Wouters A, Lemmens R, Dupont P, Thijs V Front Neurol. 2014; 5:153.

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