A case of carotid dissection having significant benefit from thrombolytic treatment
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Society of Cerebrovascular Diseases
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Ischemic stroke due to carotid artery dissection is more common among young people and it accounts about 2-5% of all strokes. A 56 year old left landed male patient was evaluated for left-sided hemiparesis and aphasia in the emergency department. His cranial CT was assessed normal and NIH score was assessed 24 then he undergone thrombolytic therapy. His NIH score was decreased to 14 after 24 hours. At extracranial dupplex USG, cranial MRI and MR-Angiography, done the same day there were findings for carotid dissection. At MR-anjio repeated 5 days later, partial recanalization were seen. At control cranial CT only striocapsüler infarct was seen. There was no any evidence of bleeding as complication. Here we present a rare case of extracranial carotid artery dissection case undergone IV thrombolytic therapy and want to take attention that in carotid dissection IV thrombolytic therapy is quiet safe and there is no difference of complication such as hemorrhage and the prognosis is no different then those with no carotid dissection.
Açıklama
Anahtar Kelimeler
Carotid Dissection; Prognosis; Thrombolytic Therapy, Fibrinolytic Agent; Adult; Aphasia; Article; Brain Ischemia; Carotid Artery Injury; Case Report; Computer Assisted Tomography; Echography; Emergency Ward; Fibrinolytic Therapy; Hemiparesis; Human; Magnetic Resonance Angiography; Male; Nuclear Magnetic Resonance Imaging; Recanalization
Kaynak
Turk Beyin Damar Hastaliklar Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
19
Sayı
1