0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Images in Neurology |

Would You Perform Thrombolysis in This Acute Ischemic Stroke Patient?

Aftab Ahmad, MRCP; Hock L. Teoh, MRCP; Vijay K. Sharma, MRCP, RVT
Arch Neurol. 2009;66(3):410-411. doi:10.1001/archneurol.2008.594.
Text Size: A A A
Published online

Extract

A 70-year-old man presented to our hospital within 90 minutes of a sudden onset of right-sided weakness and an inability to speak. He did not have a fit, fall, or injury preceding or following the symptoms. His medical history included diabetes mellitus, hypertension, and hypercholesterolemia. Results of his clinical examination at 100 minutes after symptom onset were remarkable: he had a blood pressure of 206/110 mm Hg, global aphasia, left-gaze deviation, and right-sided hemiplegia (National Institutes of Health Stroke Scale score, 13). Emergent noncontrast computed tomography (CT) of the brain performed at 112 minutes is shown in the Figure. Results from laboratory investigations (hemoglobin, full blood cell counts, prothrombin and partial thromboplastin times, and kidney and liver function tests) were within normal limits and his blood glucose concentration was 203.6 mg/dL (to convert to millimoles per liter, multiply by 0.0555). With the given details, should he have been treated with intravenous thrombolysis?

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure.

Noncontrast enhanced computed tomography of the brain performed 112 minutes after symptom onset.

Graphic Jump Location

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

55 Views
6 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
PubMed Articles
Jobs
brightcove.createExperiences();