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The "Golden Hour" of Acute Ischemic Stroke

Case Study

24 Hour Follow-up

A 61 year old male, with acute stroke, treated with rt-PA.

Repeat NIHSS = 3:

  • VF intact
  • No gaze palsy
  • Mild facial palsy
  • Mild right arm drift
  • Mild dysarthria

Repeat CT shows areas of infarct:

Repeat CT


Carotid U/S shows 60-80% stenosis left ICA

Carotid U/S

  • Speech recommends swallowing II diet and daily checks
  • Physical therapy pending
  • CEA performed day 3
  • Patient discharged to home on day 7 near pre-stroke baseline.

 

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Contents

References

 

This presentation was written by Dr. Edward C. Jauch of the Greater Cincinnati / Northern Kentucky Stroke Team at the University of Cincinnati College of Medicine.

Last Revised: March 26, 2001

 

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