Recurrence of embolic stroke during intravenous thrombolysis.
An 81-year-old man with atrial fibrillation presented with embolic stroke in the right middle cerebral artery. During intravenous thrombolysis, he became comatose and developed a recurrent embolism in the top of the basilar artery. Intra-arterial mechanical disruption of the embolus failed to recanalize. Laboratory studies on admission demonstrated thrombocytosis, but echocardiography performed after thrombolysis did not identify an embolic source, including mural thrombi.
Department of Neurology, Stroke Center, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Kei
K
Shirahama
Yuichiro
Y
Inatomi
Toshiro
T
Yonehara
Teruyuki
T
Hirano
Makoto
M
Uchino
D000369:Aged, 80 and over; D001281:Atrial Fibrillation / Q000150:complications*; D020520:Brain Infarction / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D020766:Intracranial Embolism / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D008297:Male; D055502:Secondary Prevention; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D014715:Vertebrobasilar Insufficiency / Q000175:diagnosis / Q000209:etiology