An unhappy patient following successful sonothrombolysis in vertebrobasilar thrombosis: dilemma with final diagnosis

Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging
Joy VijayanVijay K Sharma

Abstract

Acute vertebrobasilar thrombosis is often associated with high mortality and prolonged disability. Therapeutic route and the time window for systemic thrombolysis in acute settings remain uncertain. We describe a case of severe acute ischemic stroke due to vertebrobasilar thrombosis who achieved rapid arterial recanalization and remarkable clinical recovery during ultrasound enhanced intravenous thrombolysis, initiated at 4.5 hours after the symptom-onset. We discuss some important issues, related to the final diagnosis, that arise due to the complete clinical recovery, rapid arterial recanalization and absence of any acute infarction on subsequent neuroimaging.

References

Sep 1, 1975·Stroke; a Journal of Cerebral Circulation
Oct 1, 1988·Stroke; a Journal of Cerebral Circulation·W HackeG J del Zoppo
Dec 14, 1995·The New England Journal of Medicine·UNKNOWN National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group
May 1, 1996·Stroke; a Journal of Cerebral Circulation·T BrandtW Hacke
Jan 10, 2002·Annals of Neurology·Mark W ParsonsStephen M Davis
Nov 22, 2002·The New England Journal of Medicine·Gregory W AlbersUNKNOWN TIA Working Group
Dec 13, 2003·Stroke; a Journal of Cerebral Circulation·Marc RiboAndrei V Alexandrov
Mar 16, 2004·Lancet·Werner HackeUNKNOWN NINDS rt-PA Study Group Investigators
Nov 19, 2004·The New England Journal of Medicine·Andrei V AlexandrovUNKNOWN CLOTBUST Investigators
Jan 16, 2007·Current Neurology and Neuroscience Reports·Vijay K SharmaAndrei V Alexandrov
Mar 8, 2008·Stroke; a Journal of Cerebral Circulation·Georgios TsivgoulisAndrei V Alexandrov
Jul 31, 2008·Cases Journal·Rahul RathakrishnanBernard Pl Chan
Sep 26, 2008·The New England Journal of Medicine·Werner HackeUNKNOWN ECASS Investigators

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