Table 1.
Ref. no | Year | Age | Gender | IE suspected | Organism | Fever | Symptoms | Admission NIHSS Score | Imaging prior to thrombolysis | Thrombolytic used | Time interval | Microaneurysms | Discharge NIHSS score Bleeding complication |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 2003 | 31 | F | Prethrombolysis | Streptococcus mitis | Absent | Limb weakness Vertigo Tinnitus Gaze palsies | 13 | CT scan: hypodensity of thalamus | Intra-arterial urokinase | 5h | None on CT | NIHSS score 5, no hemorrhage |
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8 | 2009 | 12 | F | Post thrombolysis | Streptococcus pneumoniae | Present | Acute hemiparesis Aphasia | 18 | MRI: multiple diffusion-restricted lesions; MRA absent flow in the left internal carotid artery | Intra-arterial t-PA | 6h | None on MRI | NIHSS score 5, no hemorrhage |
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19 | 2007 | 56 | M | Post thrombolysis | Beta-hemolytic streptococcus | Present | Acute hemiparesis Aphasia | 15 | CT scan: loss of insular ribbon with indistinctness of lentiform nuclei, no hypodensity | Intravenous t-PA | 2h, 36 min | Unknown | NIHSS score 4, no hemorrhage |
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Our case | 2009 | 70 | M | Post thrombolysis | Streptococcus pneumonia | Present | Acute hemiparesis Aphasia | 13 | CT scan: hypodensity | Intravenous t-PA | 2h, 30 min | None on MRA | NIHSS score 5, no hemorrhage |
IE: infective endocarditis; M: male; F: female; NIHSS: National Institute of Health Stroke Scale; CT: computed tomography; MRI: magnetic resonance imaging; MRA: magnetic resonance angiography.