Intravenous t-PA Thrombolysis in an Acute Ischemic Stroke Patient With Takayasu’s Arteritis

J Korean Neurol Assoc > Volume 29(2); 2011 > Article

Journal of the Korean Neurological Association 2011;29(2): 116-119.

급성 뇌경색으로 발현한 다카야스동맥염 환자에게 시행된 정맥 내 t-PA 혈전용해치료

조현지, 현재원 박기덕 오지영a

이화여자대학교 의학전문대학원 신경과학교실, 건국대학교 의학전문대학원 신경과학교실a

Intravenous t-PA Thrombolysis in an Acute Ischemic Stroke Patient With Takayasu’s Arteritis

Hyun-Ji Cho

Department of Neurology, Ewha Womans University School of Medicine, Seoul, Korea Department of Neurologya, Konkuk University School of Medicine, Seoul, Korea

Abstract

The usefulness of intravenous tissue plasminogen activator (IVT) in patients with acute ischemic stroke related to Takayasu’s arteritis (TA) has not been documented; it is not recommended due to the risk of hemorrhage. We experienced a 43-year-old female with acute ischemic stroke as an initial manifestation of TA, who was treated with IVT without subsequent complication. Typical occlusion of the abdominal aorta and common carotid artery in angiography led to the delayed diagnosis of TA. Follow-up conventional angiography performed 3?years later showed a stable vascular lesion.