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Tissue Plasminogen Activator in a Vertebral Artery Dissection

Published online by Cambridge University Press:  18 September 2015

Andrew P. Gasecki ,
Carmelo Graffagnino ,
Vladimir Hachinski  and
J.P Bahary
Andrew P. Gasecki*
Affiliation:
Division of Neurology, University of Nebraska Medical Center, Omaha, Nebraska
Carmelo Graffagnino
Affiliation:
Division of Neurology, Duke University Medical Center, Durham, North Carolina
Vladimir Hachinski
Affiliation:
Department of Clinical Neurological Sciences, University Hospital, London, Ontario
J.P Bahary
Affiliation:
Division of Neurology, University of Nebraska Medical Center, Omaha, Nebraska Department of Clinical Neurological Sciences, University Hospital, London, Ontario
*
Division of Neurology, University of Nebraska Medical center, 600 South 42nd Street, Omaha, Nebraska, USA 68198-2045
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Abstract:

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Background:

Spontaneous dissection of the vertebral artery is uncommon.

Method:

Case study.

Results:

We report a 49-year-old woman who presented with the rapidly progressing basilar artery syndrome who was given an intravenous dose of tissue plasminogen activator seven hours after the onset of first symptoms. Thirty minutes after the injection, a dramatic recovery of the patient's consciousness and neurological signs was noted.

Conclusion:

To our knowledge, this is the first reported case of intravenous tissue plasminogen activator use in acute vertebral artery dissection.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 24 , Issue 2 , May 1997 , pp. 151 - 157
Copyright
Copyright © Canadian Neurological Sciences Federation 199

References

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