Breaking Down Barriers: Easter Island's First Telestroke Thrombolysis Experience and Case Report
Date
2022
Type:
Article
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Abstract
Easter Island (Rapa Nui), Chile, is remote, located in the Polynesian Triangle in Oceania. The closest continental point is Chile, 3,512 km east. It has a population of 7,750 inhabitants, who are Chilean citizens, and receives more than 60,000 tourists a year. For this entire population, there is a medium complexity hospital without a neurology specialist. In 2019, local professionals were trained in a Telestroke program with remote clinical support conducted by neurologists located on mainland Chile. We present a 50-year-old native male, with unknown medical history, who suddenly presented right-half-body weakness and aphasia. He was evaluated via Telestroke consultation, and thrombolysis with tenecteplase was indicated. The patient improved rapidly and 45 min later the NIHSS score was 0 points. To our knowledge, this is the first reported case of Telestroke treatment in such a remote area, highlighting the importance of telemedicine to overcome geographical and technological stroke care barriers and to improve patients' outcome, no matter where they live.
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Citation
Mazzon E, Delfino C, Mirelis S, Arévalo M, Rojas D, Lara L, Carcamo D, Jurado F, Rocha D, Venturelli PM, Mansilla E. Breaking Down Barriers: Easter Island's First Telestroke Thrombolysis Experience and Case Report. J Stroke Cerebrovasc Dis. 2022 Mar 27;31(6):106412. doi: 10.1016/j.jstrokecerebrovasdis.2022.106412
Keywords
Acute stroke, Stroke care, Telemedicine, Telestroke, Thrombolysis