Images in Neurology
June 2010

Acute Cerebral Ischemia Owing to Unruptured Dissecting Intracranial AneurysmAn Uncommon Contraindication for Intravenous Thrombolysis

Author Affiliations

Author Affiliations: Departments of Neurology (Drs Tsivgoulis, Vadikolias, Heliopoulos, and Piperidou) and Radiology (Drs Mantatzis and Souftas), Democritus University of Thrace, Alexandroupolis, Greece.


Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010

Arch Neurol. 2010;67(6):770-771. doi:10.1001/archneurol.2010.90

A 25-year-old woman with an unremarkable medical history had an episode of acute weakness of her right arm and speech disturbance that had developed during the past 2 hours. She complained that she had also previously (during the last 8 hours before the onset of the last episode) experienced numerous episodes of transient right-arm weakness, which lasted only a few minutes and resolved spontaneously. She was evaluated by our acute stroke team as a potential candidate for intravenous thrombolysis. Her neurologic examination disclosed right hemiparesis and mild expressive aphasia, with a National Institutes of Stroke Scale score of 6 points.

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