自发性颈动脉夹层导致急性卒中患者的静脉溶栓治疗。
IV thrombolysis in patients with acute stroke due to spontaneous carotid dissection.
作者信息
Georgiadis D, Lanczik O, Schwab S, Engelter S, Sztajzel R, Arnold M, Siebler M, Schwarz S, Lyrer P, Baumgartner R W
机构信息
Department of Neurology, University of Zürich, Zürich, Switzerland.
出版信息
Neurology. 2005 May 10;64(9):1612-4. doi: 10.1212/01.WNL.0000159548.45013.C1.
The authors reviewed the histories of 33 patients (ages 44 to 50 years) treated with IV thrombolysis for acute stroke due to spontaneous cervical carotid artery dissection. Median NIH Stroke Scale (NIHSS) score on admission was 15. No new or worsened local signs, subarachnoid hemorrhage, pseudoaneurysm formation, or rupture of the cervical ICA were observed. At 3 months, median NIHSS was 7 and median modified Rankin Scale (mRS) 2.5; mRS < or = 2 was observed in 17 patients.
作者回顾了33例（年龄44至50岁）因自发性颈内动脉夹层导致急性卒中接受静脉溶栓治疗患者的病史。入院时美国国立卫生研究院卒中量表（NIHSS）评分中位数为15分。未观察到新的或加重的局部体征、蛛网膜下腔出血、假性动脉瘤形成或颈内动脉破裂。在3个月时，NIHSS评分中位数为7分，改良Rankin量表（mRS）中位数为2.5分；17例患者的mRS≤2分。
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