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"Brain Stunning" Atypical Feature of tPA Thrombolysis Following Aneurysm Embolization
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  • "Brain Stunning" Atypical Feature of tPA Thrombolysis Following Aneurysm Embolization
  • "Brain Stunning" Atypical Feature of tPA Thrombolysis Following Aneurysm Embolization
저자명
Park. Min-Woo,Yi. Hyeong-Joong,Gupta. Rishi,Horowitz. Michael B.
간행물명
Journal of Korean neurosurgical society
권/호정보
2006년|39권 4호|pp.300-302 (3 pages)
발행정보
대한신경외과학회
파일정보
정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

"Stunning" represents prolonged contractile depression of any muscular component after alleviation of severe ischemia, as shown in reperfusion following acute myocardial ischemia or ischemic stroke. Clinically, it presents with no or delayed recovery past to thrombolytic therapy but its pathogenic mechanism is not fully uncovered yet. We describe a unique case of a 63-year-old woman, who was undertaken endovascular coiling for the aneurysms, deteriorated several hours later without known cause, and showed delayed clinical improvement over the next 3 days following thrombolysis. Immediate post-thrombolysis magnetic resonance imaging scan showed no apparent abnormality except for high signal intensity within the corresponding hemisphere. Reversible but delayed nature of " brain stunning" can be explained by these images and it seems to be caused by a certain type of reperfusion injury.