Department of Neurology, Max Balaji Hospital, Patparganj, Delhi, India.
Neurol India. 2010 Jan-Feb;58(1):112-4. doi: 10.4103/0028-3886.60419.
Cardiac thrombus is not an established contraindication to thrombolysis with intravenous tissue plasminogen activator in acute ischemic stroke. Recurrent ischemic stroke involving an initially unaffected arterial territory during the course of thrombolysis in stroke has been reported, but remains exceptionally rare. We present a case that developed cardioembolic stroke on the previously unaffected side during thrombolysis for acute ischemic stroke.
心脏血栓形成并不是急性缺血性脑卒中静脉注射组织型纤溶酶原激活物溶栓治疗的既定禁忌证。溶栓治疗过程中最初未受累动脉区域再次发生缺血性脑卒中的情况已有报道，但仍极为罕见。我们报告了 1 例在急性缺血性脑卒中溶栓治疗过程中，原先未受累的对侧发生心源性脑栓塞的病例。
