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 |
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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. Intravenous thrombolytic treatment administered within the therapeutic window may be useful in cerebral ischaemia associated with migraine when an arterial occlusion is documented.</description><identifier>ISSN: 0333-1024</identifier><identifier>EISSN: 1468-2982</identifier><identifier>DOI: 10.1111/j.1468-2982.2009.01891.x</identifier><identifier>PMID: 19438912</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>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</subject><ispartof>Cephalalgia, 2010-03, Vol.30 (3), p.368-372</ispartof><rights>International Headache Society 2010. 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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. Intravenous thrombolytic treatment administered within the therapeutic window may be useful in cerebral ischaemia associated with migraine when an arterial occlusion is documented.</description><subject>Acute Disease</subject><subject>Brain Ischemia - complications</subject><subject>Brain Ischemia - diagnosis</subject><subject>Brain Ischemia - drug therapy</subject><subject>Cerebral Angiography</subject><subject>Female</subject><subject>Humans</subject><subject>Infarction, Posterior Cerebral Artery - complications</subject><subject>Infarction, Posterior Cerebral Artery - diagnosis</subject><subject>Infarction, Posterior Cerebral Artery - drug therapy</subject><subject>Magnetic Resonance Angiography</subject><subject>Magnetic Resonance Imaging</subject><subject>Migraine without Aura - complications</subject><subject>Thrombolytic Therapy</subject><subject>Ultrasonography, Doppler, Transcranial</subject><subject>Young Adult</subject><issn>0333-1024</issn><issn>1468-2982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1PxCAQhonR6PrxFww3T1sHWlrqzRi_EhMvepXM0unadVtWoIn772XdjR7lwCTwvMPwMMYFZCKty0UmilJPZa1lJgHqDISuRfa1xya_F_tsAnmeTwXI4ogdh7AAAFVCeciORF3kKSAn7O3l3bt-5pbr2FkePWHsaYjctbwL9h2pT8chevdB3Fk7et8Nc96MPwV53809doMbA8cY0X5c8WtuMRD3tHI-nrKDFpeBznb1hL3e3b7cPEyfnu8fb66fprYQENPeSFBQzBqwCIoabEhZTWitVKJWiqhCjbpqC5C1rUSe0LYUUs2QlC7zE3ax7bvy7nOkEE2fxqflEgdKw5lKlaXSlagSqbek9S4ET61Z-a5HvzYCzEauWZiNQ7NxaDZyzY9c85Wi57tHxllPzV9wZzMBagsEnJNZuNEP6dP_N_4G_vWH6w</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Školoudík, D</creator><creator>Král, M</creator><creator>Šaňák, D</creator><creator>Vlachová, I</creator><creator>Hluštík, P</creator><creator>Michálková, K</creator><creator>Herzig, R</creator><creator>Kaňovský, P</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100301</creationdate><title>Thrombolytic treatment of ischaemic stroke occurring during a migrainous attack: A case report</title><author>Školoudík, D ; Král, M ; Šaňák, D ; Vlachová, I ; Hluštík, P ; Michálková, K ; Herzig, R ; Kaňovský, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-c4d20504bd0ca05edade5c8eacc251955ee7a8a87f4029c7134bdf6125bae5863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Acute Disease</topic><topic>Brain Ischemia - complications</topic><topic>Brain Ischemia - diagnosis</topic><topic>Brain Ischemia - drug therapy</topic><topic>Cerebral Angiography</topic><topic>Female</topic><topic>Humans</topic><topic>Infarction, Posterior Cerebral Artery - complications</topic><topic>Infarction, Posterior Cerebral Artery - diagnosis</topic><topic>Infarction, Posterior Cerebral Artery - drug therapy</topic><topic>Magnetic Resonance Angiography</topic><topic>Magnetic Resonance Imaging</topic><topic>Migraine without Aura - complications</topic><topic>Thrombolytic Therapy</topic><topic>Ultrasonography, Doppler, Transcranial</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Školoudík, D</creatorcontrib><creatorcontrib>Král, M</creatorcontrib><creatorcontrib>Šaňák, D</creatorcontrib><creatorcontrib>Vlachová, I</creatorcontrib><creatorcontrib>Hluštík, P</creatorcontrib><creatorcontrib>Michálková, K</creatorcontrib><creatorcontrib>Herzig, R</creatorcontrib><creatorcontrib>Kaňovský, P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cephalalgia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Školoudík, D</au><au>Král, M</au><au>Šaňák, D</au><au>Vlachová, I</au><au>Hluštík, P</au><au>Michálková, K</au><au>Herzig, R</au><au>Kaňovský, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thrombolytic treatment of ischaemic stroke occurring during a migrainous attack: A case report</atitle><jtitle>Cephalalgia</jtitle><addtitle>Cephalalgia</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>30</volume><issue>3</issue><spage>368</spage><epage>372</epage><pages>368-372</pages><issn>0333-1024</issn><eissn>1468-2982</eissn><abstract>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.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>19438912</pmid><doi>10.1111/j.1468-2982.2009.01891.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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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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