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Rinsho Shinkeigaku
; 64(3): 181-184, 2024 Mar 22.
Artigo
em Japonês
| MEDLINE
| ID: mdl-38369326
RESUMO
An 88-year-old woman with atrial fibrillation was admitted to our hospital due to the right hemiplegia and aphasia. MRA shows the left middle cerebral artery M2 occlusion. After intravenous rt-PA, her symptoms improved. She was diagnosed with cardioembolic stroke, and was treated with direct oral anticoagulation therapy. However, she had repeated stereotypical transient right hemiparesis a week after index stroke. Her symptoms were considered capsular warning syndrome (CWS). After cilostazol was administered, no further transient neurological deteriorations occurred. CWS can coexist with acute cardioembolic stroke, and cilostazol was effective.
Assuntos
AVC Embólico , Acidente Vascular Cerebral , Idoso de 80 Anos ou mais , Feminino , Humanos , Anticoagulantes/efeitos adversos , Cilostazol , AVC Embólico/complicações , AVC Embólico/tratamento farmacológico , Fibrinolíticos , Infarto da Artéria Cerebral Média , Acidente Vascular Cerebral/complicações , Síndrome , Ativador de Plasminogênio Tecidual/uso terapêutico
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