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- W2892077686 abstract "A 42-year-old female admitted with new-onset atrial fibrillation had a wake-up stroke on the high-dependency unit and the time last seen well (TLSW) was 6.5 h. She suffered left-sided body weakness and her National Institutes of Health Stroke Scale (NIHSS) score was 17. An emergency CT perfusion showed right M1 segment occlusion with more than 50% penumbra. She was given recombinant tissue plasminogen activator (r-tPA) at 9 h from TLSW. An immediate diagnostic angiogram with intention to treat, owing to the presence of large vessel occlusion, showed complete reperfusion after intravenous r-tPA. She was discharged with NIHSS of 2, and at 3-month follow up her Modified Rankin Scale was 0. We demonstrated a successful reperfusion and excellent clinical recovery with intravenous thrombolysis in a patient who presented with a wake-up stroke with underlying valvular atrial fibrillation despite evidence of large vessel occlusion." @default.
- W2892077686 created "2018-09-27" @default.
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- W2892077686 date "2018-01-01" @default.
- W2892077686 modified "2023-10-15" @default.
- W2892077686 title "Successful intravenous thrombolysis of a wake-up stroke with underlying valvular atrial fibrillation" @default.
- W2892077686 cites W2159233098 @default.
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- W2892077686 doi "https://doi.org/10.4997/jrcpe.2018.308" @default.
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