Trombolisis intravenosa en cuadros imitadores de isquemia cerebral: experiencia de un centro

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dc.contributor.authorBrunser, Alejandro
dc.contributor.authorHoppe, Arnold
dc.contributor.authorMuñoz, Paula
dc.contributor.authorLavados, Pablo
dc.contributor.authorIllanes, Sergio
dc.contributor.authorDiaz, Violeta
dc.contributor.authorOlavarria, Veronica
dc.date.accessioned2017-08-17T13:22:48Z
dc.date.available2017-08-17T13:22:48Z
dc.date.issued2016
dc.description.abstractBackground: The effectiveness of intravenous thrombolysis (IVT) in cerebral ischemia is time dependent. Stroke mimics (SM) are frequent in emergency rooms. The effort to reduce door to needle time, can lead to administer thrombolytics to SM. Aim: To describe the frequency and prognosis of SM treated with IVT. Material and Methods: Prospective analysis of all patients evaluated in a Chilean private clinic between December 2004 and July 2015 with a suspected acute ischemic stroke (AIS). We calculated the number of SM that were treated with IVT. In these patients, we analyzed the presence of symptomatic cerebral hemorrhage defined as the presence of a neurological deterioration of four points or more on the National Institute of Health Stroke Scale, the presence of extracranial bleeding according to Global Utilization of Streptokinase and t-PA for Occluded Coronary Arteries criteria and the patient’s functional status at three months by modified Rankin scale (MRS). Results: We evaluated 1,417 patients with suspected AIS, of which 240 (16.9%) were finally diagnosed as SM. A total of 197 patients were treated with IVT, of these 10 (5%) corresponded to SM. All SM patients treated with thrombolytic drugs were functionally independent at 3 months and showed no bleeding complications. Conclusions: Occasionally SM patients were treated with IVT. This treatment was not associated with bleeding complications and the prognosis of these patients at three months was favorable.
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dc.identifier.citationBrunser, Alejandro M, Hoppe, Arnold, Muñoz, Paula, Lavados, Pablo M, Illanes, Sergio, Díaz, Violeta, & Olavarría, Verónica V. (2016). Trombolisis intravenosa en cuadros imitadores de isquemia cerebral: experiencia de un centro. Revista médica de Chile, 144(10), 1266-1269.
dc.identifier.urihttp://hdl.handle.net/11447/1592
dc.identifier.urihttp://dx.doi.org/10.4067/S0034-98872016001000005
dc.language.isospa
dc.publisherSociedad Medica de Santiago
dc.subjectStroke
dc.subjectTherapeutics
dc.subjectThrombolytic Therapy
dc.titleTrombolisis intravenosa en cuadros imitadores de isquemia cerebral: experiencia de un centro
dc.title.alternativeThrombolysis in stroke mimics. Experience in 10 cases
dc.typeArtículo

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