title: Superselective Intra-arterial Thrombolysis for Acute Cardioembolic Stroke in a Child with Idiopathic Dilated Cardiomyopathy. A Case Report.
abstract: We describe a case of cardioembolic dominant hemisphere internal carotid artery occlusion in a child with idiopathic dilated cardiomyopathy. The patient was subjected to superselective local intra-arterial thrombolysis using recombinant tissue plasminogen activator (A lteplase; Actilyse((R))). In presence of good collateral flow local intra-arterial thrombolysis prevented a major dominant hemisphere ischaemic stroke, although post-interventional computed tomographic scans disclosed haemorrhagic conversion in the left corpus striatum. Forty eight months after ischaemic stroke and thrombolysis the patient is ambulatory with a moderate neurologic deficit.
authors.affiliation: Department of Pediatrics; University of Vienna Medical School; Vienna, Austria.
authors.forename: E
authors.initials: E
authors.lastname: Kitzmüller
authors.forename: A
authors.initials: A
authors.lastname: Gruber
authors.forename: M
authors.initials: M
authors.lastname: Marx
authors.forename: M
authors.initials: M
authors.lastname: Schlemmer
authors.forename: M
authors.initials: M
authors.lastname: Wimmer
authors.forename: B
authors.initials: B
authors.lastname: Richling