Acta Neurol Belg (2017) 117:749–751 DOI 10.1007/s13760-016-0720-4 LETTER TO THE EDITOR 1 1 Claudio De Piazza Francesco Raudino Received: 10 June 2016 / Accepted: 31 October 2016 / Published online: 14 November 2016 Belgian Neurological Society 2016 Keywords Off-label thrombolysis Platelet count Case report Thrombocytopenia Thrombolysis A 63-year-old woman was admitted to our Department due to sudden onset aphasia and right-sided, upper motorneu- Introduction ron-type facial nerve palsy. A mild chest pain initiated a few days before was also reported. Neurological exami- Intravenous thrombolysis (IVT) efﬁcacy for stroke patients nation conﬁrmed a primarily expressive aphasia, a mild treated within 4.5 h from onset is currently well estab- right upper limb weakness, and a right-sided upper lished. Nevertheless, a proportion of patients evaluated motorneuron-type facial palsy; the National Institutes of within a favourable time window is still excluded from Health Stroke Scale (NIHSS) scored 9. Patient’s previous treatment on the basis of various contraindications. medical history was unremarkable, except for a recent Thrombocytopenia, particularly a platelet count of less gynaecological evaluation due to a newly onset metror- than 100,000/lL is considered a formal contraindication rhagia; no obvious vascular risk factors were known. An for IVT; nonetheless, some
Acta Neurologica Belgica – Springer Journals
Published: Nov 14, 2016
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