Management of Acute Ischemic Stroke with Large Vessel Occlusion in an Extreme Age Patient: Case Report
Keywords:
Cerebral infarction, elderly, treatmentAbstract
Ischemic stroke, the most common type of stroke, is an emergent condition caused by cerebral arterial blood supply disruption as blood clot occlusion. Management for restoration of blood circulation can be medical therapy with thrombolytic agent and/or mechanical thrombectomy. With possible side effects of both methods, most randomized clinical trials often excluded patients age > 80 years old. This has led to limit data on efficacy and safety of ischemic stroke management in very elderly patients. In this article, we report an extreme age patient who received both medical and surgical interventions. Complete resolution of angiographic defects (mTICI 3) and excellent clinical outcome (no neurological deficit at 90 days) were achieved. Data from literature review of case report studies, guideline recommendation for management, selective indications, efficacy, safety and side effects of each treatment are also presented.
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ข้อความภายในบทความที่ตีพิมพ์ในวารสารสมาคมโรคหลอดเลือดสมองไทยเล่มนี้ ตลอดจนความรับผิดชอบด้านเนื้อหาและการตรวจร่างบทความเป็นของผู้นิพนธ์ ไม่เกี่ยวข้องกับกองบรรณาธิการแต่อย่างใด การนำเนื้อหา ข้อความหรือข้อคิดเห็นของบทความไปเผยแพร่ ต้องได้รับอนุญาตจากกองบรรณาธิการอย่างเป็นลายลักษณ์อักษร ผลงานที่ได้รับการตีพิมพ์ในวารสารเล่มนี้ถือเป็นลิขสิทธิ์ของวารสาร
