Hyperacute ischemic stroke without lesions on diffusion‐weighted imaging in a patient treated with rtPA thrombolysis

Clinical Case Reports

Zhen Jing¹  Shijun Zhang¹  Jingjing Tang¹  Anding Xu¹  Yiwen Ruan² 

[1] The First Affiliated Hospital, Jinan University, Guangzhou, Guangdong, China;GHM Institute of CNS Regeneration (GHMICR), Jinan University, Guangzhou, Guangdong, China

关键词: Diffusion‐weighted imaging;    hyperacute ischemic stroke;    recombinant tissue plasminogen activator;    thrombolysis;   

DOI  :  10.1002/ccr3.60

来源: Wiley

【 摘 要 】

Key Clinical Message

We report a comatose patient with severe neurological deficits who was without spontaneous language or movement. He had a good response to recombinant tissue plasminogen activator (rtPA) thrombolysis even though there were no detectable lesions on diffusion-weighted imaging (DWI). DWI is very sensitive for diagnosing hyperacute ischemic stroke, and rtPA thrombolysis is the best treatment. However, rtPA thrombolysis in ischemic stroke patients without lesions on DWI has rarely been reported.

【 授权许可】

CC BY-NC-ND   
© 2014 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.

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