AJDRAJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 2008;29:1314.

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American Journal of Neuroradiology
DOI 10.3174/ajnr.A1069

BRAIN

MR Imaging–Based Decision in Thrombolytic Therapy for Stroke on Awakening: Report of 2 Cases

C. Iosif, C. Oppenheim, D. Trystram, V. Domigo and J.F. Méder

From the Departments of Neuroradiology (C.I., C.O., D.T., J.F.M.) and Neurology (V.D.), Université Paris Descartes, Centre Hospitalier Sainte-Anne, Paris, France.

Please address correspondence to Catherine Oppenheim, MD, Department of Neuroradiology, Université Paris Descartes, Centre Hospitalier Sainte-Anne, 1 rue Cabanis, 75674 Paris Cedex 14, France; e-mail: c.oppenheim{at}ch-sainte-anne.fr

SUMMARY: Patients with stroke on awakening are denied the potential benefit of thrombolysis on the grounds that the onset time is unknown. Relying on clinical and MR imaging to indicate the most appropriate treatment could be more rational. We report 2 cases of stroke with unknown onset time. In both cases, anamnesis and MR imaging indicated that we might still be within 6 hours from stroke onset, with salvageable tissue. Arterial recanalization was successfully performed in both cases.






Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X