title: Late intra-arterial thrombolysis.
abstract: A 70-year-old woman with a progressive dominant hemisphere syndrome but only mild hemiparesis and a normal brain scan (>3 hours from stroke onset) showed angiographic occlusion of the left anterior cerebral artery and the middle cerebral artery at its trifurcation with preservation of the rolandic artery. Intra-arterial thrombolysis was started >6 hours from onset of symptoms. Recanalization occurred and the patient recovered with a transcortical motor aphasia and no motor deficit. A negative brain scan and an incomplete large hemispheric syndrome may indicate an extended time-window for intra-arterial thrombolysis.
authors.affiliation: Stroke Center/The Neurological Institute, Columbia University College of Physicians & Surgeons, New York, NY, USA. cs585@columbia.edu
authors.forename: C
authors.initials: C
authors.lastname: Stapf
authors.forename: R S
authors.initials: RS
authors.lastname: Marshall
authors.forename: J P
authors.initials: JP
authors.lastname: Mohr
authors.forename: H D
authors.initials: HD
authors.lastname: Duong
authors.forename: J C
authors.initials: JC
authors.lastname: Brunson
authors.forename: R T
authors.initials: RT
authors.lastname: Benson
authors.forename: H
authors.initials: H
authors.lastname: Mast
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007261:Infusions, Intra-Arterial; D008279:Magnetic Resonance Imaging; D020521:Stroke / Q000188:drug therapy*; D015912:Thrombolytic Therapy / Q000379:methods*