Progression of Acute Ischemic Infarction after a Hemostatic Therapy for Thrombolysis-Related Intracerebral Hemorrhage / 대한뇌졸중학회지
Korean Journal of Stroke
;
: 41-44, 2011.
Article
in Korean
| WPRIM
| ID: wpr-18674
ABSTRACT
As thrombolysis for acute ischemic stroke is a double-edged sword, so could be the hemostatic treatment for thrombolysis-induced intracerebral hemorrhage. An 88-year-old woman with acute ischemic stroke presented with severe dysarthria and right hemiparesis. Her neurological symptoms rapidly improved after intravenous tissue plasminogen activator (t-PA) treatment. However, she became drowsy one hour after the intravenous t-PA treatment. Brain CT revealed a small right thalamic hemorrhage which was contralateral to the initial ischemic lesion. To prevent expansion of the hematoma, vitamine K was infused intravenously. Three hours after the infusion, conjugate eyeball deviation to the left side and right hemiplegia developed, which were likely to be resulted from reocclusion. Hemostatic therapy, such as vitamine K infusion, might be related to the worsening of cerebral ischemia after recanalization with t-PA.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paresis
/
Vitamin K
/
Vitamins
/
Brain
/
Cerebral Hemorrhage
/
Brain Ischemia
/
Tissue Plasminogen Activator
/
Stroke
/
Dysarthria
/
Hematoma
Limits:
Aged
/
Aged80
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Stroke
Year:
2011
Type:
Article
Similar
MEDLINE
...
LILACS
LIS