Hemi Orolingual Angioedema after tPA Administration for Acute Ischemic Stroke

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Hemi Orolingual Angioedema after tPA Administration for Acute Ischemic Stroke

INTRODUCTION As studies continue to demonstrate the efficacy of intravenous tissue plasminogen activator (tPA) in acute ischemic stroke, the exclusion criteria continue to narrow, and the time-window continues to increase.1-3 The most dreaded adverse effect of tPA, hemorrhagic conversion of an ischemic stroke, is well known and well published.3 However, as an increasing number of patients are r...

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Orolingual Angioedema During or After Thrombolysis for Cerebral Ischemia.

BACKGROUND AND PURPOSE Orolingual angioedema (OLAE) is a life-threatening complication of intravenous thrombolysis. Our objective was to compare outcomes of patients with and without OLAE. METHODS We prospectively included consecutive patients who received intravenous thrombolysis for cerebral ischemia at Lille University Hospital. We examined tongue and lips every 15 minutes during thromboly...

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dysphagia in acute ischemic stroke

Introduction: Swallowing dysfunction complicates acute strokes in 25-32% of cases and directly affects patientschr('39') prognosis and recovery. Dysphagia complicates the course of acute strokes through its potential of the development of chest infection, nutritional problems, and dehydration.  Dysphagia is also an independent predictor of respiratory morbidity and mortality in acute stroke. In...

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Raising awareness of orolingual angioedema as a complication of thrombolysis in acute stroke patients.

1 Sundt TM, Sharbrough FW, Piepgras DG, Kearns TP, Messick JM, O’Fallon WM: Correlation of cerebral blood flow and electroencephalographic changes during carotid endarterectomy. Mayo Clin Proc 1981; 56: 533–543. 2 van Mook W, Rennenberg R, Schurink G, et al: Cerebral hyperperfusion syndrome. Lancet Neurol 2005; 4: 877–888. 3 Russell DA, Gough MJ: Intracerebral haemorrhage following carotid enda...

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Lingual angioedema after alteplase treatment in a patient with acute ischemic stroke.

BACKGROUND In recent years, thrombolytic therapy has become the main treatment of ischemic stroke. But the increasing use of alteplase in ischemic stroke has made some complications more evident. Angioedema is a rare but potentially life-threatening complication of alteplase treatment. Only a few studies have examined the incidence of angioedema after treatment with alteplase for stroke. METH...

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ژورنال

عنوان ژورنال: Western Journal of Emergency Medicine

سال: 2015

ISSN: 1936-900X,1936-9018

DOI: 10.5811/westjem.2014.12.24210