J Korean Neurol Assoc.
2011 May;29(2):116-119.
Intravenous t-PA Thrombolysis in an Acute Ischemic Stroke Patient With Takayasu's Arteritis
- Affiliations
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- 1Department of Neurology, Ewha Womans University School of Medicine, Seoul, Korea. pkd1165@ewha.ac.kr
- 2Department of Neurology, Konkuk University School of Medicine, Seoul, Korea.
Abstract
- The usefulness of intravenous tissue plasminogen activator (IVT) in patients with acute ischemic stroke related to Takayasu's arteritis (TA) has not been documented; it is not recommended due to the risk of hemorrhage. We experienced a 43-year-old female with acute ischemic stroke as an initial manifestation of TA, who was treated with IVT without subsequent complication. Typical occlusion of the abdominal aorta and common carotid artery in angiography led to the delayed diagnosis of TA. Follow-up conventional angiography performed 3 years later showed a stable vascular lesion.
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