title: Intravenous Thrombolysis in a Young Patient with Acute Stroke due to Posterior Cerebral Artery Dissection.
abstract: Infarcts of the territory of posterior cerebral artery (PCA) are common and their clinical presentations are well known. However, stroke in young adults originating at the PCA is relatively rare. We describe the case of a young female patient with right PCA infarcts that were probably caused by spontaneous arterial dissection. Dissection was successfully treated with intravenous recombinant tissue plasminogen activator. Herein, we discuss the mechanism, management, serial magnetic resonance angiography results, and functional outcome of treatment.
authors.affiliation: Department of Neurology, Lotung Poh-Ai Hospital, Ilan, Taiwan, Republic of China.
authors.forename: Ching-Hsiung
authors.initials: CH
authors.lastname: Liu
authors.affiliation: Department of Neurology, Lotung Poh-Ai Hospital, Ilan, Taiwan, Republic of China.
authors.forename: Chun-Liang
authors.initials: CL
authors.lastname: Lin
authors.affiliation: Department of Radiology, Lotung Poh-Ai Hospital, Ilan, Taiwan, Republic of China.
authors.forename: Sheng-Lan
authors.initials: SL
authors.lastname: Yu
authors.affiliation: Department of Emergency Medicine, Lotung Poh-Ai Hospital, Ilan, Taiwan, Republic of China.
authors.forename: Turrando
authors.initials: T
authors.lastname: Bih
authors.affiliation: Division of Critical Care Medicine, Department of internal medicine, Lotung Poh-Ai Hospital, Ilan, Taiwan, Republic of China.
authors.forename: Liang-Wen
authors.initials: LW
authors.lastname: Ding
mesh_terms: D000328:Adult; D002544:Cerebral Infarction / Q000188:drug therapy* / Q000209:etiology; D005260:Female; D006801:Humans; D020769:Posterior Cerebral Artery / Q000473:pathology*; D020521:Stroke / Q000188:drug therapy* / Q000209:etiology; D015912:Thrombolytic Therapy / Q000379:methods*