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
  • 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.

Keyword

Takayasu's arteritis; Intravenous thrombolysis; Acute ischemic stroke

MeSH Terms

Adult
Angiography
Aorta, Abdominal
Carotid Artery, Common
Delayed Diagnosis
Female
Follow-Up Studies
Hemorrhage
Humans
Stroke
Takayasu Arteritis
Tissue Plasminogen Activator
Tissue Plasminogen Activator
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