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Revista de sanidad militar

Print version ISSN 0301-696X


ROMERO CORTES, Irina; GUZMAN MORALES, Amor Guadalupe  and  ISLAS RUZ, Félix Gilberto. Successful thrombolysis in cerebrovascular disease: a case report. Rev. sanid. mil. [online]. 2018, vol.72, n.5-6, pp.359-362.  Epub Aug 23, 2019. ISSN 0301-696X.

The most important risk factor for presenting a cerebrovascular disease (CVA) is age. Stroke is also the most frequent cause of disability acquired in adulthood. According to the World Health Organization, it is estimated that by the year 2050, almost half of the population over 65 could suffer or have suffered a CVA. Due to the high incidence and negative impact of this disease, we present a clinical case of successful thrombolysis in a patient with ischemic stroke and hypertensive crisis in the emergency department. We emphasize the adequate evaluation with the different existing clinical, radiological and predictive scales (NIHSS, Dragon Score, ASPECT, HAT score), as well as the inclusion and exclusion criteria, which are indispensable to administer an intravenous reperfusion therapy.


In Mexico, the cases reported with successful thrombolysis are only 5%. In this successful case, the proper performance in the emergency service impacted positively on the prognosis of the patient, since the timely diagnosis and administration of rTPA avoided important sequelae and provided a better quality of Life, which is decreased in up to 70% of patients suffering from a CVA (according to studies conducted in the USA).

Keywords : Cerebral vascular event; thrombolysis; recombinant tissue plasminogen activator.

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