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CLINICAL IMAGE
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 152

Acute stroke management


Department of Neurology, National Institute of Mental Health & Neurosciences, Bengaluru 560 029, Karnataka, India

Date of Submission20-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
Girish Baburao Kulkarni
Department of Neurology, National Institute of Mental Health & Neurosciences, Bengaluru 560 029, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2240_19

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How to cite this article:
Gupta M, Kulkarni GB. Acute stroke management. Indian J Med Res 2020;152, Suppl S1:152

How to cite this URL:
Gupta M, Kulkarni GB. Acute stroke management. Indian J Med Res [serial online] 2020 [cited 2021 Jul 29];152, Suppl S1:152. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/152/316789

Patient's consent obtained to publish clinical information and images.


A 34 yr old female suffering from rheumatic heart disease presented to Neurology Casualty of National Institute of Mental Health & Neurosciences (NIMHANS), Bengaluru, India, within two hours with sudden-onset right-sided weakness and inability to speak in August 2019. On detailed evaluation, she was found to have right hemiplegia, global aphasia and left gaze preference. Her National Institutes of Health Stroke Scales (NIHSS) score was 16. The acute stroke team was alerted, her Alberta Stroke Programme Early Computed Tomography Score was 10 and angiography revealed left M1 occlusion [Figure 1]A and [Figure 1]B leading to left middle cerebral artery stroke. She underwent mechanical thrombectomy with successful recanalization [Figure 2]A and [Figure 2]B. She made almost complete recovery with modified Rankin Scale of 1 at follow up after three months.
Figure 1: (A) Diffusion weighted imaging done within 24 h post thrombectomy showing residual left basal ganglia restriction (black arrow). (B) Angiogram-recanalized left middle cerebral artery post-thrombectomy (white arrow).

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Figure 2: (A) Computed tomography brain plain-hyperdense left middle cerebral artery (yellow solid arrow). (B) Angiogram-absent flow in the left middle cerebral artery (white solid arrow).

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Conflicts of Interest: None.


    Figures

  [Figure 1], [Figure 2]



 

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