Monday, 19 June 2017

Thrombolysis in Very Minor Ischemic Stroke (NIHSS=0 or 1)

Intravenous thrombolysis (IVT) in minor ischemic stroke is controversial and often a minimum score of National Institute of Health Stroke Scale (NIHSS)is recommended for thrombolysis. Clinical characteristics, safety and outcome of very minor ischemic stroke (VMIS) treated by IVT were assessed.

Thrombolysis
Data of all patients treated with IVT during the last 5 years were extracted from a prospectively collected database. VMIS was defined as NIHSS=0 or 1 on admission. Baseline demographic data, symptoms, clinical and imaging findings, and outcome of VMIS patients were analyzed. From 2010 to 2014, in total 477 patients were treated with IVT which included 12 VMIS (2.5%) patients. No complication or intracerebral hemorrhage occurred in the VMIS group.

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