静脉溶栓期间的栓塞性卒中再发。

Recurrence of embolic stroke during intravenous thrombolysis.

机构信息

Department of Neurology, Stroke Center, Saiseikai Kumamoto Hospital, Kumamoto, Japan.

出版信息

J Stroke Cerebrovasc Dis. 2012 Jan;21(1):84-6. doi: 10.1016/j.jstrokecerebrovasdis.2010.03.013.

DOI:10.1016/j.jstrokecerebrovasdis.2010.03.013

Abstract

An 81-year-old man with atrial fibrillation presented with embolic stroke in the right middle cerebral artery. During intravenous thrombolysis, he became comatose and developed a recurrent embolism in the top of the basilar artery. Intra-arterial mechanical disruption of the embolus failed to recanalize. Laboratory studies on admission demonstrated thrombocytosis, but echocardiography performed after thrombolysis did not identify an embolic source, including mural thrombi.

摘要

一位 81 岁男性，患有心房颤动，出现右侧大脑中动脉栓塞性卒中。在静脉溶栓过程中，他昏迷并在基底动脉顶端再次发生栓塞。动脉内机械破坏栓子未能再通。入院时的实验室研究显示血小板增多症，但溶栓后进行的超声心动图未发现栓子来源，包括壁血栓。