Jornal de Neurologia e Neurociência

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Acute Ischemic Stroke from Sinovenous Occlusive Disease. tpa or no tpa?

Muhammad Ubaid Hafeez1*, Syeda Qasim2, Komal Hafeez3, Ravi Shastri4

Cerebral venous thrombosis (CVT) is a rare cause of acute ischemic stroke (AIS). There is no existing literature on the use of recombinant tissue plasminogen activator (rtPA) for venous strokes if they present within the window for thrombolysis. In addition, establishing venous thrombosis as a cause of acute stroke when deciding to administer rtPA can be challenging. We present a case of acute venous stroke who received rtPA when she presented within 4.5- hour window. The report discusses early imaging findings and role of thrombolysis in acute phase of CVT