Successful treatment with intravenous recombinant tissue plasminogen activator in an acute stroke patient presenting with hemiballism

Bembenek, Jan Paweł and Bilik, Marta and Członkowska, Anna (2015) Successful treatment with intravenous recombinant tissue plasminogen activator in an acute stroke patient presenting with hemiballism. Functional Neurology, 30 (1). pp. 71-72. ISSN 1971-3274

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Abstract

A 79-year-old woman with hypertension was evaluated 3 hours and 20 minutes after the sudden onset of left-sided weakness which lasted about 15 minutes and was followed by involuntary, coarse, flinging movements of the left extremities (hemiballistic), occurring every few minutes, and facial asymmetry. Brain computed tomography revealed no abnormalities. The patient received intravenous thrombolysis with 0.9 mg/kg of alteplase 4 hours after the symptom onset. Involuntary movements and central facial nerve paresis subsided within 48 hours of the thrombolysis. Magnetic resonance imaging at day 5 revealed restricted diffusion within the right globus pallidus, which was a new ischemic lesion. Thrombolysis should be considered in hemiballism as a presenting symptom of acute stroke.

Item Type: Article
Uncontrolled Keywords: Acute ischemic stroke, hemiballism, involuntary movements, thrombolysis
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
Depositing User: Marina Spanti
Date Deposited: 20 Sep 2019 13:36
Last Modified: 20 Sep 2019 13:36
URI: http://eprints.bice.rm.cnr.it/id/eprint/12541

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