Document Detail

Thrombolytic therapy in acute cerebral infarction complicating diagnostic cardiac catheterization.
MedLine Citation:
PMID:  17000459     Owner:  NLM     Status:  MEDLINE    
Diagnostic and interventional percutaneous coronary catheterization is associated with stroke. Many of such strokes are asymptomatic, but some are devastating. Once the diagnosis of acute cerebral infarction is confirmed, thrombolytic therapy should be administrated within the time window of 3 hours. We report a 61-year-old woman who suffered from an acute cerebral infarction during diagnostic cardiac catheterization for unstable angina, which manifested as sudden onset of global aphasia, right hemiplegia and gaze preponderance to the left side. Computed tomography of the head performed immediately after recognition of the symptoms showed a hyperdense middle cerebral artery (MCA) sign. Following prompt recognition and diagnosis, intravenous thrombolytic therapy was administered 2 hours after symptom onset. The patient had a favorable outcome. Initially, National Institutes of Health Stroke Scale score was 21, and 24 hours later it improved to 9. The hyperdense MCA lesion had resolved on the 24-hour follow-up scan. This case illustrates the clinical benefit of thrombolytic therapy in the setting of acute stroke associated with cardiac catheterization.
Yu-Wei Chen; Ming-Ming Sim; Eric E Smith
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  105     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-09-26     Completed Date:  2006-11-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  China    
Other Details:
Languages:  eng     Pagination:  848-51     Citation Subset:  IM    
Department of Neurology, Li-Shin Hospital, Tao-Yuan, Taiwan.
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MeSH Terms
Angina, Unstable / diagnosis
Coronary Angiography
Fibrinolytic Agents / therapeutic use*
Follow-Up Studies
Heart Catheterization / adverse effects*
Infarction, Middle Cerebral Artery / drug therapy*,  etiology,  radiography
Middle Aged
Thrombolytic Therapy / methods*
Tomography, X-Ray Computed
Reg. No./Substance:
0/Fibrinolytic Agents

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