Putaminal haemorrhage after recanalization of an embolic MCA occlusion treated with tissue plasminogen activator.
We present the case of a 42-year-old female, who suffered an embolic occlusion of the right middle cerebral artery (MCA). Recanalization was achieved with tissue plasminogen activator (t-PA) within 7 h after onset of stroke. Post-t-PA infusion angiographic and CT examinations revealed fragmentation of the thrombus and a small putaminal haemorrhage associated with early reperfusion of the MCA. No clinical deterioration was observed and complete recovery occurred within 10 days.
Brückmann
H
H
Department of Neurology, Klinikum RWTH Aachen, Federal Republic of Germany.
Ferbert
A
A
D000328:Adult; D002533:Cerebral Angiography / Q000379:methods; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D011699:Putamen; D011856:Radiographic Image Enhancement; D011994:Recombinant Proteins / Q000627:therapeutic use; D013382:Subtraction Technique; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed
D011994:Recombinant Proteins; D010959:Tissue Plasminogen Activator