Thrombolysis with IV Tissue Plasminogen Activator for Acute Ischemic Stroke in 91 Years Female with Previous Stroke: A Case Report
2020
Stroke can occur at any age, but with advancing age, risk for acute ischemic stroke
increases by many fold. Mortality in acute stroke has reduced in last few years.
The reason for the success are multi-factorial which includes preventive approach
and improved care within the first few hours of acute stroke through thrombolysis
with IV rtPA. However, thrombolysis for ischemic stroke in elderly beyond 80 years
has been a debatable issue. We recently thrombolysed a 91 years old female with
history of stroke in window period. Post thrombolysis, she regained full motor
power without complications. In conclusion, very elderly age with Diabetes
Mellitus and/or history of stroke should not be a contraindication for IV alteplase
treatment in patients with acute ischemic stroke. We should weigh the risks and
benefits of IV alteplase to treat acute ischemic stroke in such patients.
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