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Tissue Plasminogen Activator in a Vertebral Artery Dissection

Published online by Cambridge University Press:  18 September 2015

Andrew P. Gasecki ,
Carmelo Graffagnino ,
Vladimir Hachinski  and
J.P Bahary
Andrew P. Gasecki*
Affiliation:
Division of Neurology, University of Nebraska Medical Center, Omaha, Nebraska
Carmelo Graffagnino
Affiliation:
Division of Neurology, Duke University Medical Center, Durham, North Carolina
Vladimir Hachinski
Affiliation:
Department of Clinical Neurological Sciences, University Hospital, London, Ontario
J.P Bahary
Affiliation:
Division of Neurology, University of Nebraska Medical Center, Omaha, Nebraska Department of Clinical Neurological Sciences, University Hospital, London, Ontario
*
Division of Neurology, University of Nebraska Medical center, 600 South 42nd Street, Omaha, Nebraska, USA 68198-2045
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Abstract:

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Background:

Spontaneous dissection of the vertebral artery is uncommon.

Method:

Case study.

Results:

We report a 49-year-old woman who presented with the rapidly progressing basilar artery syndrome who was given an intravenous dose of tissue plasminogen activator seven hours after the onset of first symptoms. Thirty minutes after the injection, a dramatic recovery of the patient's consciousness and neurological signs was noted.

Conclusion:

To our knowledge, this is the first reported case of intravenous tissue plasminogen activator use in acute vertebral artery dissection.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 24 , Issue 2 , May 1997 , pp. 151 - 157
Copyright
Copyright © Canadian Neurological Sciences Federation 199

References

REFERENCES

1.Caplan, LR, Baquis, GD, Pessin, MS, et al. Dissection of the intracranial vertebral artery. Neurology 1988; 38: 868–877.CrossRefGoogle ScholarPubMed
2.Hinse, P, Thie, A, Lachenmayer, L. Dissection of the extracranial vertebral artery: report of four cases and review of the literature. J Neurol Neurosurg Psychiatry 1991; 54: 863–869.CrossRefGoogle ScholarPubMed
3.Youl, BD, Coutellier, A, Dubois, B, Leger, JM, Bousser, MG. Three cases of spontaneous extracranial vertebral artery dissection. Stroke 1990; 21: 618–625.CrossRefGoogle ScholarPubMed
4.Leys, D, Lesoin, F, Pruvo, JP, et al. Bilateral spontaneous dissection of extracranial vertebral arteries. J Neurol 1987; 234: 237–240.CrossRefGoogle ScholarPubMed
5.Mas, J-L, Bousser, MG, Hasboun, D, Laplane, D. Extracranial vertebral artery dissections: a review of 13 cases. Stroke 1987; 18: 1037–1047.CrossRefGoogle ScholarPubMed
6.Katirji, MB, Reinmuth, OM, Latchaw, RE. Stroke due to vertebral artery injury. Arch Neurol 1985; 42: 242–248.CrossRefGoogle ScholarPubMed
7.Sherman, DG, Hart, RG, Easton, JD. Abrupt change in head position and cerebral infarction. Stroke 1981; 12: 2–6.CrossRefGoogle ScholarPubMed
8.Wijdicks, E, Scott, JP. Outcome in patients with acute basilar artery occlusion requiring mechanical ventilation. Stroke 1996; 27: 1301–1303.CrossRefGoogle ScholarPubMed
9.Bogousslavsky, J, Despland, P, Regli, F. Spontaneous carotid dissection with acute stroke. Arch Neurol 1987; 44: 137–140.CrossRefGoogle ScholarPubMed
10.Fisher, CM, Ojemann, RG, Robertson, GH. Spontaneous dissection of cervico-cerebral arteries. Can J Neurol Sci 1978; 5: 9–19.CrossRefGoogle ScholarPubMed
11.The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med 1995; 333: 1581–1587.CrossRefGoogle Scholar
12.Brandt, T, Von Rummer, R, Muller-Kuppers, M, Hacke, W. Thrombolytic therapy of acute basilar artery occlusion. Variables affecting recanalization and outcome. Stroke 1996; 27: 875–881.CrossRefGoogle ScholarPubMed
13.Zeumer, H, Hacke, W, Ringelstein, EB. Local intraarterial thrombolysis in vertebrobasilar thromboembolic disease. Am J Neuroradiol 1983; 4: 401–404.Google ScholarPubMed
14.Hacke, W, Zeumer, H, Ferbert, A, Bruckmann, H, Del Zoppo, GJ. Intraarterial thrombolytic therapy improves outcome in patients with acute vertebrobasilar occlusive disease. Stroke 1988; 19: 1216–1222.CrossRefGoogle ScholarPubMed
15.Bruckmann, H, Ferbert, A, Del Zoppo, GJ, Hacke, W, Zeumer, H. Acute vertebral-basilar thrombosis. Angiologic-clinical comparison and therapeutic implications. Acta Radiol Suppl 1986; 369: 38–42.Google ScholarPubMed
16.Nenci, GG, Gresele, P, Taramelli, M, Agnelli, G, Signorini, E. Thrombolytic therapy for thromboembolism of vertebrobasilar artery. Angiology 1983; 34: 561–571.CrossRefGoogle ScholarPubMed
17.Zeumer, H, Freitag, H-J, Zanella, F, Thie, A, Arning, C. Local intraarterial fibrinolytic therapy in patients with stroke: urokinase versus recombinant tissue plasminogen activator (r-TPA). Neuroradiology 1993; 35: 159–162.CrossRefGoogle ScholarPubMed
18.Huemer, M, Niederwieser, V, Ladurner, G. Thrombolytic treatment for acute occlusion of the basilar artery. J. Neurol Neurosurg Psychiatry 1995; 58: 227–228.CrossRefGoogle ScholarPubMed
19.Clark, WM, Barnwell, SL, O’Neill, OR, et al. Successful middle cerebral artery thrombolysis by microcatheter navigation through an occluded internal carotid artery [Abstract]. Stroke 1995; 26: 12 and J Neurosurg 1996; 84: 387–392.Google Scholar
20.Adams, HP Jr, Aschenbrener, CA, Kassell, NF, Ansbacher, L, Cornell, SH. Intracranial hemorrhage produced by spontaneous dissecting intracranial aneurysm. Arch Neurol 1982; 39: 773–775.CrossRefGoogle ScholarPubMed
21.Hochberg, FH, Bean, C, Fisher, CM, Robertson, GH. Stroke in a 15-year-old girl secondary to terminal carotid dissection. Neurology 1975; 25: 725–729.CrossRefGoogle Scholar
22.Kunze, ST, Schiefer, W. Angiographic demonstrations of dissecting aneurysm of the middle cerebral artery. Neuroradiology 1971; 2: 201–206.CrossRefGoogle ScholarPubMed
23.Benham, R, Tillinghast, S. Thrombolytic therapy in spontaneous coronary artery dissection. Clin Cardiol 1991; 14: 611–614.Google Scholar
24.Vacek, J, McKiernan, T. Intracoronary streptokinase for acute coronary artery dissection. N Engl J Med 1984; 310: 1187.Google ScholarPubMed
25.Lee, T-M, Liau, C-S. Spontaneous coronary artery dissection in an elderly woman with acute inferior myocardial infarction. A case report. Angiology 1995; 46: 847–851.CrossRefGoogle Scholar
26.Blanc, P, Hoffman, P, Latour, F, et al. Spontaneous dissection of the distal anterior intraventricular artery during intravenous thrombolysis. Ann Cardiol Angeiol Paris 1991; 40: 427–428.Google Scholar
27.Ramamurti, S, Mahrer, PR, Magnusson, P, et al. Idiopathic coronary artery dissection. A rare in vivo diagnosis Clin Cardiol 1985; 8: 57–60.Google ScholarPubMed
28.Gonzales, JI, Hill, JA, Conti, CR. Spontaneous coronary artery dissection treated with percutaneous transluminal angioplasty. Am J Cardiol 1989; 63: 885–886.CrossRefGoogle Scholar
29.Buys, EM, Suttorp, MJ, Morshuis, WJ, Plokker, HW. Extension of a spontaneous coronary artery dissection due to thrombolytic therapy. Cathet Cardiovasc Diagn 1994; 33: 157–160.CrossRefGoogle ScholarPubMed
30.Friedman, AH, Drake, CG. Subarachnoid hemorrhage from intracranial dissecting aneurysm. J Neurosurg 1984; 60: 325–334.CrossRefGoogle ScholarPubMed
31.Yonas, H, Agamanolis, D, Takaoka, Y, White, RJ. Dissecting intracranial aneurysms. Surg Neurol 1977; 8: 407–415.Google ScholarPubMed
32.Shimoji, T, Bando, K, Nakajima, K, Ito, K. Dissecting aneurysm of the vertebral artery. Report of seven cases and angiographic findings. J Neurosurg 1984; 61: 1038–1046.CrossRefGoogle ScholarPubMed
33.Berger, MS, Wilson, CB. Intracranial dissecting aneurysms of the posterior circulation. Report of six cases and review of the literature. J Neurosurg 1984; 61: 882–894.CrossRefGoogle ScholarPubMed
34.Yamaura, A. Diagnosis and treatment of vertebral aneurysms. J Neurosurg 1988; 69: 345–349.CrossRefGoogle ScholarPubMed
35.Mokri, B, Houser, OW, Sandok, BA, Piepgras, PG. Spontaneous dissections of the vertebral arteries. Neurology 1988; 38: 880–885.CrossRefGoogle ScholarPubMed
36.Senter, HJ, Sarwar, M. Nontraumatic dissecting aneurysm of the vertebral artery. Case report. J Neurosurg 1982; 56: 128–130.CrossRefGoogle ScholarPubMed
37.Kulla, L, Deymeer, F, Smith, TW, Weiner, M, Mullins, TF III. Intracranial dissecting and saccular aneurysms in polycystic kidney disease. Report of a case. Arch Neurol 1982; 39: 776–778.CrossRefGoogle Scholar
38.Manz, HJ, Luessenhop, AJ. Dissecting aneurysm of intracranial vertebral artery: case report and review of literature. J Neurol 1983; 230: 25–35.CrossRefGoogle ScholarPubMed
39.Sasaki, O, Ogawa, H, Koike, T, Koizumi, T, Tanaka, R. A clinicopathological study of dissecting aneurysms of intracranial vertebral artery. J Neurosurg 1991; 75: 874–882.CrossRefGoogle ScholarPubMed
40.Tanaka, K, Waga, S, Kojima, T, et al. Non-traumatic dissecting aneurysms of the intracranial vertebral artery. Report of six cases. Acta Neurochir (Wien) 1989; 100: 62–66.CrossRefGoogle ScholarPubMed
41.Yamaura, A, Watanabe, Y, Saeki, N. Dissecting aneurysms of the intracranial vertebral artery. J Neurosurg 1990; 72: 183–188.CrossRefGoogle ScholarPubMed
42.Nass, R, Hays, A, Chutorian, A. Intracranial dissecting aneurysms in childhood. Stroke 1982; 13: 204–207.CrossRefGoogle ScholarPubMed