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  • Title: Late intra-arterial thrombolysis.
    Author: Stapf C, Marshall RS, Mohr JP, Duong HD, Brunson JC, Benson RT, Mast H.
    Journal: Eur J Med Res; 2000 Jul 19; 5(7):303-6. PubMed ID: 10903190.
    Abstract:
    A 70-year-old woman with a progressive dominant hemisphere syndrome but only mild hemiparesis and a normal brain scan (>3 hours from stroke onset) showed angiographic occlusion of the left anterior cerebral artery and the middle cerebral artery at its trifurcation with preservation of the rolandic artery. Intra-arterial thrombolysis was started >6 hours from onset of symptoms. Recanalization occurred and the patient recovered with a transcortical motor aphasia and no motor deficit. A negative brain scan and an incomplete large hemispheric syndrome may indicate an extended time-window for intra-arterial thrombolysis.
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