Adverse Outcome of Early Recurrent Ischemic Stroke Secondary to Atrial Fibrillation after Repeated Systemic Thrombolysis
Joint Authors
Riccio, Patricia M.
Beratti, Diego E.
Mazia, Claudio
Monti, Paula
Salutto, Valeria
Sposato, Luciano A.
Source
Case Reports in Vascular Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-08-06
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Recurrent ischemic stroke is associated with adverse neurological outcome in patients with atrial fibrillation.
There is very scarce information regarding the neurological outcome of atrial fibrillation patients undergoing repeated systemic thrombolysis after early recurrent ischemic stroke.
Clinical Case and Discussion.
We describe a case of a 76-year-old woman with known paroxysmal atrial fibrillation who was admitted because of an acute right middle cerebral artery ischemic stroke and who underwent repeated systemic thrombolysis within 110 hours.
The patient underwent systemic thrombolysis after the first ischemic stroke with almost complete neurological recovery.
On the fourth day after treatment, an acute left middle cerebral artery ischemic stroke was diagnosed and she was treated with full-dose intravenous recombinant tissue plasminogen activator.
A hemorrhagic transformation of the left middle cerebral artery infarction was noted on follow-up cranial computed tomographic scans.
The patient did not recover from the second cerebrovascular event and died 25 days after admission.
Conclusion.
To the best of our knowledge, this is the second case reporting the adverse neurological outcome of a patient with diagnosis of atrial fibrillation undergoing repeated systemic thrombolysis after early recurrent ischemic stroke.
Our report represents a contribution to the scarce available evidence suggesting that repeated systemic thrombolysis for recurrent ischemic stroke should be avoided.
American Psychological Association (APA)
Sposato, Luciano A.& Salutto, Valeria& Beratti, Diego E.& Monti, Paula& Riccio, Patricia M.& Mazia, Claudio. 2013. Adverse Outcome of Early Recurrent Ischemic Stroke Secondary to Atrial Fibrillation after Repeated Systemic Thrombolysis. Case Reports in Vascular Medicine،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-466781
Modern Language Association (MLA)
Sposato, Luciano A.…[et al.]. Adverse Outcome of Early Recurrent Ischemic Stroke Secondary to Atrial Fibrillation after Repeated Systemic Thrombolysis. Case Reports in Vascular Medicine No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-466781
American Medical Association (AMA)
Sposato, Luciano A.& Salutto, Valeria& Beratti, Diego E.& Monti, Paula& Riccio, Patricia M.& Mazia, Claudio. Adverse Outcome of Early Recurrent Ischemic Stroke Secondary to Atrial Fibrillation after Repeated Systemic Thrombolysis. Case Reports in Vascular Medicine. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-466781
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-466781