Thrombolysis, Complete Recanalization, Diffusion Reversal, and Luxury Perfusion in Hyperacute Stroke

A 59-year old man was admitted to our stroke care unit 1.8 hours after onset of cardioembolic stroke. Administration of issue-plasminogen activator achieved complete recanalization, and his lesion on diffusion-weighted imaging (DWI) disappeared and single photon emission computed tomography showed luxury perfusion. DWI reversal and luxury perfusion were sometimes observed in hyperacute stroke patients, especially timely reperfusion was achieved. However, the relationships between DWI reversal and luxury perfusion were not well known.

Source: Journal of Stroke and Cerebrovascular Diseases - October 28, 2015 Category: Neurology Authors: Yuki Sakamoto, Takahiro Ouchi, Seiji Okubo, Arata Abe, Junya Aoki, Akane Nogami, Takahiro Sato, Hiroyuki Hokama, Yutaro Ogawa, Shizuka Suzuki, Masahiro Mishina, Kazumi Kimura Tags: Case Report Source Type: research