Thrombolytic treatment of ischaemic stroke occurring during a migrainous attack: A case report

Authors report a case of young female suffering from the acute ischaemic stroke with right-sided hemiplegia, hemianopsia and hemihypoaesthesia during a migrainous attack without aura. Magnetic resonance imaging detected infarction in the left occipital lobe and occlusion of branches of the posterior...

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Veröffentlicht in:Cephalalgia 2010-03, Vol.30 (3), p.368-372
Hauptverfasser: Školoudík, D, Král, M, Šaňák, D, Vlachová, I, Hluštík, P, Michálková, K, Herzig, R, Kaňovský, P
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container_end_page 372
container_issue 3
container_start_page 368
container_title Cephalalgia
container_volume 30
creator Školoudík, D
Král, M
Šaňák, D
Vlachová, I
Hluštík, P
Michálková, K
Herzig, R
Kaňovský, P
description Authors report a case of young female suffering from the acute ischaemic stroke with right-sided hemiplegia, hemianopsia and hemihypoaesthesia during a migrainous attack without aura. Magnetic resonance imaging detected infarction in the left occipital lobe and occlusion of branches of the posterior cerebral artery (PCA). Combined treatment with systemic thrombolysis and sonothrombolysis was used, leading to the early PCA recanalization, and to a favourable clinical outcome after 1 month. Intravenous thrombolytic treatment administered within the therapeutic window may be useful in cerebral ischaemia associated with migraine when an arterial occlusion is documented.
doi_str_mv 10.1111/j.1468-2982.2009.01891.x
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Magnetic resonance imaging detected infarction in the left occipital lobe and occlusion of branches of the posterior cerebral artery (PCA). Combined treatment with systemic thrombolysis and sonothrombolysis was used, leading to the early PCA recanalization, and to a favourable clinical outcome after 1 month. 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source Sage Journals GOLD Open Access 2024
subjects Acute Disease
Brain Ischemia - complications
Brain Ischemia - diagnosis
Brain Ischemia - drug therapy
Cerebral Angiography
Female
Humans
Infarction, Posterior Cerebral Artery - complications
Infarction, Posterior Cerebral Artery - diagnosis
Infarction, Posterior Cerebral Artery - drug therapy
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Migraine without Aura - complications
Thrombolytic Therapy
Ultrasonography, Doppler, Transcranial
Young Adult
title Thrombolytic treatment of ischaemic stroke occurring during a migrainous attack: A case report
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