Published in:
01-05-2013 | Original Communication
Thrombolysis for stroke caused by infective endocarditis: an illustrative case and review of the literature
Authors:
Elodie Ong, Laura Mechtouff, Emilien Bernard, Tae-Hee Cho, Lansana Laho Diallo, Norbert Nighoghossian, Laurent Derex
Published in:
Journal of Neurology
|
Issue 5/2013
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Abstract
Infective endocarditis represents a classical contra-indication to thrombolysis for acute ischemic stroke due to a potential increased risk of intracranial hemorrhage. However, some case reports have suggested safety and potential efficacy of intravenous or intra-arterial thrombolysis in stroke related to infective endocarditis. We present a case of ischemic stroke related to infective endocarditis who was treated with intravenous tissue plasminogen activator within the first 3 h of symptoms onset and subsequently developed symptomatic multifocal intracerebral hemorrhages, and summarize currently available data on this issue.