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Eur J Med Res. 2000 Jul 19;5(7):303-6.

Late intra-arterial thrombolysis.

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Stroke Center/The Neurological Institute, Columbia University College of Physicians & Surgeons, New York, NY, USA.


A 70-year-old woman with a progressive dominant hemisphere syndrome but only mild hemiparesis and a normal brain scan (>3 hours from stroke onset) showed angiographic occlusion of the left anterior cerebral artery and the middle cerebral artery at its trifurcation with preservation of the rolandic artery. Intra-arterial thrombolysis was started >6 hours from onset of symptoms. Recanalization occurred and the patient recovered with a transcortical motor aphasia and no motor deficit. A negative brain scan and an incomplete large hemispheric syndrome may indicate an extended time-window for intra-arterial thrombolysis.

[Indexed for MEDLINE]

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