Successful Mechanical Thrombectomy of Middle Cerebral Artery Occlusion 14 Hours after Stroke Onset

Authors

  • Robin Bhattarai Department of Neurosurgery, B and C Medical College Teaching Hospital and Research Center, Birtamode, Jhapa, Nepal
  • Karuna Tamrakar Karki Department of Neurosurgery, B and C Medical College Teaching Hospital and Research Center, Birtamode, Jhapa, Nepal
  • Dinesh Kumar Thapa Department of Neurosurgery, B and C Medical College Teaching Hospital and Research Center, Birtamode, Jhapa, Nepal
  • Navin Kumar Yadav Department of Neurosurgery, B and C Medical College Teaching Hospital and Research Center, Birtamode, Jhapa, Nepal

DOI:

https://doi.org/10.3126/egn.v3i01.38980

Keywords:

Aphasia, Endovascular, Ischemic Stroke, Thrombectomy, Weakness

Abstract

A 45-year-old patient with no significant past medical history presented to out-patient department with aphasia and right hand weakness with a National Institutes of Health Stroke Scale (NIHSS) of 10 and occlusion of the left middle cerebral artery (MCA) in the M1 segment. Last known normal time was 14hrs (wake up stroke). Immediate endovascular thrombectomy was performed 14 hours after symptom onset with complete recanalization and complete clinical recovery. Although mechanical thrombectomy is generally considered an effective alternative strategy up to 8 hours after stroke onset, selected patients with a large diffusion/perfusion mismatch and small infarct cores may benefit from an expanded therapeutic window.

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Published

2021-08-08

How to Cite

Robin Bhattarai, Karki, K. T., Thapa, D. K., & Yadav, N. K. (2021). Successful Mechanical Thrombectomy of Middle Cerebral Artery Occlusion 14 Hours after Stroke Onset. Eastern Green Neurosurgery, 3(01), 42–44. https://doi.org/10.3126/egn.v3i01.38980

Issue

Section

Case Reports