Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Acta Neurologica Belgica
Published in: Acta Neurologica Belgica 3/2017

01-09-2017 | Letter to the Editor

Thrombolysis in thrombocytopenic stroke patients: a case report

Authors: Claudio De Piazza, Francesco Raudino

Published in: Acta Neurologica Belgica | Issue 3/2017

Login to get access

Excerpt

Intravenous thrombolysis (IVT) efficacy for stroke patients treated within 4.5 h from onset is currently well established. Nevertheless, a proportion of patients evaluated within a favourable time window is still excluded from treatment on the basis of various contraindications. Thrombocytopenia, particularly a platelet count of less than 100,000/µL is considered a formal contraindication for IVT; nonetheless, some case have been reported regarding IVT administration in this subset of patients. No definitive conclusions can be drawn from the current available literature [1], so adding another case report may be of interest. …
Literature
1.
Demaerschalk BM, Kleindorfer DO, Adeoye OM, Demchuk AM, Fugate JE, Grotta JC, Khalessi AA, Levy EI, Palesch YY, Prabhakaran S, Saposnik G, Saver JL, Smith EE, American Heart Association Stroke Council and Council on Epidemiology and Prevention (2016) Sientific rational for the inclusion and exclusion criteria for intravenous alteplase in acute ischemic stroke: a statement for healthcare professionals from the american heart association/american stroke association. Stroke 47(2):581–641CrossRefPubMed
2.
European Stroke Organisation (ESO) Executive Committee; ESO Writing Committee (2008) Guidelines for management of ischaemic stroke and transient ischaemic attack. Cerebrovasc Dis. 25(5):457–507CrossRef
3.
Breuer L, Huttner HB, Kiphuth IC, Ringwald J, Hilz MJ, Schwab S, Köhrmann M (2013) Waiting for platelet counts causes unsubstantiated delay of thrombolysis therapy. Eur Neurol 69(5):317–320CrossRefPubMed
4.
Cucchiara BL, Jackson B, Weiner M, Messe SR (2007) Usefulness of checking platelet count before thrombolysis in acute ischemic stroke. Stroke 38:1639–1640CrossRefPubMed
5.
Smith EE, Fonarow GC, Reeves MJ, Cox M, Olson DM, Hernandez AF, Schwamm LH (2011) Outcomes in mild or rapidly improving stroke not treated with intravenous recombinant tissue-type plasminogen activator: findings from get with the guidelines-stroke. Stroke 42:3110–3115CrossRefPubMed
Metadata
Title
Thrombolysis in thrombocytopenic stroke patients: a case report
Authors
Claudio De Piazza
Francesco Raudino
Publication date
01-09-2017
Publisher
Springer International Publishing
Published in
Acta Neurologica Belgica / Issue 3/2017
Print ISSN: 0300-9009
Electronic ISSN: 2240-2993
DOI
https://doi.org/10.1007/s13760-016-0720-4

Other articles of this Issue 3/2017

Acta Neurologica Belgica 3/2017 Go to the issue

Original Article

Etiological classification of ischemic stroke in young patients: a comparative study of TOAST, CCS, and ASCO

Original Article

Progressive deficit in isolated pontine infarction: the association with etiological subtype, lesion topography and outcome

Letter to the Editor

Subacute onset Hirayama disease with extensive myelopathy on MRI in flexed posture

Letter to the Editor

Autoimmune cerebellar ataxia with glutamic acid decarboxylase 65 antibodies associated with central vestibular symptoms

Original Article

The effect of maternal migraine headache on their children’s quality of life

Review article

Neurological aspects of chemical and biological terrorism: guidelines for neurologists