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1393/2/8، جلد ۱۳، شماره ۲، صفحات -
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژههای فارسی مقاله |
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| عنوان انگلیسی |
Decompressive craniectomy after unsuccessful intravenous thrombolysis of malignant cerebral infarction |
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| چکیده انگلیسی مقاله |
Background: Intravenous recombinant tissue plasminogen activator (rt-PA) is an approved treatment for acute ischemic stroke within 4.5 h of symptoms onset. Decompressive craniectomy (DC) has been shown as an effective therapeutic modality in malignant middle cerebral artery (MCA) infarction. As rt-PA could result in hemorrhagic complication during or after any surgery DC may be associated with severe bleeding after intravenous thrombolysis. Case Description: A 57-year-old woman was presented 90 min after the sudden onset of left hemiplegia. Despite intravenous thrombolytic therapy, she lost consciousness within 48 h and brain CT scan showed a right malignant MCA infarction associated with a small bleeding. DC was performed without any complication. The patient improved dramatically. Conclusion: DC could be done safety for malignant MCA infarction after unsuccessful intravenous thrombolytic therapy even the later was complicated with intra-infarction hemorrhage. Introduction Intravenous thrombolysis is approved for acute ischemic stroke within 4.5 h of onset in our hospital. Decompressive craniectomy (DC) was shown to be lifesaving and effective for malignant middle cerebral artery (MCA) infarction. 1-4 There is a risk of bleeding when DC performed after thrombolytic treatment of acute ischemic stroke. Herein, we present a case of DC after unsuccessful intravenous recombinant tissue plasminogen activator (rt-PA) treatment of MCA infarction. Keywords Cerebral Infarction, Decompressive Craniectomy, Ischemic Stroke, Thrombolysis |
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| کلیدواژههای انگلیسی مقاله |
Keywords Cerebral Infarction, Decompressive Craniectomy, Ischemic Stroke, Thrombolysis |
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| نویسندگان مقاله |
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| نشانی اینترنتی |
http://ijnl.tums.ac.ir/index.php/ijnl/article/viewArticle/625 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
Case Report(s) |
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