title: SYSTEMIC THROMBOLYSIS AND ENDOVASCULAR INTERVENTION IN POSTPARTUM STROKE.
abstract: BACKGROUND
  There are no previously published cases about intravenously applied recombinant tissue plasminogen activator in acute ischemic stroke during puerperium.
  
  
  METHODS
  We report a 40-year-old woman with postpartum acute ischemic stroke caused by multiple cervical artery dissections treated by systemic thrombolysis and endovascular intervention.
  
  
  CONCLUSIONS
  There are only limited data regarding thrombolytic treatment in acute stroke during pregnancy and puerperium. Current acute stroke treatment guidelines--while considering pregnancy as a relative exclusion criterion--do not deal with the postpartum state.
  
  
  CONCLUSIONS
  As the condition is rare, randomized controlled trials are not feasible, therefore further reports on similar cases could eventually help us suggest guidelines or at least propose recommendations for the acute thrombolytic treatment of strokes occurring in pregnancy and puerperium.
authors.forename: Dániel
authors.initials: D
authors.lastname: Bereczki
authors.forename: Beatrix
authors.initials: B
authors.lastname: Németh
authors.forename: Zsolt
authors.initials: Z
authors.lastname: May
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Szakács
authors.forename: István
authors.initials: I
authors.lastname: Gubucz
authors.forename: István
authors.initials: I
authors.lastname: Szikora
authors.forename: Géza
authors.initials: G
authors.lastname: Szilágyi
mesh_terms: D000328:Adult; D002545:Brain Ischemia / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D016893:Carotid Stenosis / Q000150:complications; D002533:Cerebral Angiography; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006495:Heparin, Low-Molecular-Weight / Q000008:administration & dosage; D006801:Humans; D049590:Postpartum Period; D020521:Stroke / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology / Q000601:surgery*; D015912:Thrombolytic Therapy / Q000379:methods*; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D005343:Fibrinolytic Agents; D006495:Heparin, Low-Molecular-Weight; D010959:Tissue Plasminogen Activator