Document Detail


Successful treatment of pediatric stroke with recombinant tissue plasminogen activator (rt-PA): a case report and review of the literature.
MedLine Citation:
PMID:  19000355     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pediatric stroke is a rare disorder with a paucity of evidence-based treatment options, and can result in significant morbidity and mortality. In contrast to adult acute ischemic stroke, where the use of recombinant tissue plasminogen activator (rt-PA) has been studied in several large, randomized clinical trials, no high-level evidence exists for the use of thrombolytics in children with stroke. We report a case of a 15-year-old girl who suffered an acute ischemic stroke and had a dramatic improvement in symptoms following the administration of intravenous rt-PA.
Authors:
Shirra Cremer; Yaniv Berliner; David Warren; Andrew E Jones
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  CJEM     Volume:  10     ISSN:  1481-8035     ISO Abbreviation:  CJEM     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-12     Completed Date:  2009-03-19     Revised Date:  2011-10-05    
Medline Journal Info:
Nlm Unique ID:  100893237     Medline TA:  CJEM     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  575-8     Citation Subset:  IM    
Affiliation:
Department of Biostatistics and Epidemiology, University of Western Ontario, London, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Brain Ischemia / complications
Causality
Emergency Treatment / methods*
Evidence-Based Emergency Medicine
Female
Fibrinolytic Agents / therapeutic use*
Humans
Infusions, Intravenous
Injections, Intravenous
Morbidity
Pediatrics / methods*
Practice Guidelines as Topic
Randomized Controlled Trials as Topic
Rare Diseases
Stroke / drug therapy*,  epidemiology,  etiology
Tissue Plasminogen Activator / therapeutic use*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Fibrinolytic Agents; EC 3.4.21.68/Tissue Plasminogen Activator

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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