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This Article Full Text Full Text (PDF) CME: Take the course for this article: Volume 64, Number 9, May 10, 2005 All Versions of this Article: 01.WNL.0000159548.45013.C1v1 64/9/1612    most recent Correspondence: Submit a response Correspondence: View responses Alert me when this article is cited Alert me when Correspondence are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Georgiadis, D. Articles by Baumgartner, R. W. Search for Related Content PubMed Articles by Georgiadis, D. Articles by Baumgartner, R. W. Related Collections All Clinical trials All Cerebrovascular disease/Stroke Clinical trials Observational study (Cohort, Case control) Carotid artery dissection Infarction

IV thrombolysis in patients with acute stroke due to spontaneous carotid dissection

From the Department of Neurology (Drs. Georgiadis and Baumgartner), University of Zürich, Switzerland; Department of Neurology (Drs. Lanczik and Schwarz), University of Mannheim, Germany; Department of Neurology (Dr. Schwab), University of Heidelberg, Germany; Department of Neurology (Drs. Engelter, and Lyrer), University of Basel, Switzerland; Department of Neurology (Dr. Sztajzel), University of Geneva, Switzerland; Department of Neurology (Dr. Arnold), University of Bern, Switzerland; and Department of Neurology (Dr. Siebler), University of Düsseldorf, Germany.

Address correspondence and reprint requests to Dr. D. Georgiadis, Department of Neurology, University of Zürich, Frauenklinikstr. 26, 8091 Zürich, Switzerland; e-mail: dimitrios.georgiadis{at}usz.ch

The authors reviewed the histories of 33 patients (ages 44 to 50 years) treated with IV thrombolysis for acute stroke due to spontaneous cervical carotid artery dissection. Median NIH Stroke Scale (NIHSS) score on admission was 15. No new or worsened local signs, subarachnoid hemorrhage, pseudoaneurysm formation, or rupture of the cervical ICA were observed. At 3 months, median NIHSS was 7 and median modified Rankin Scale (mRS) 2.5; mRS 2 was observed in 17 patients.

See Commentary, page 1491

Received July 14, 2004. Accepted in final form January 20, 2005.

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