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Neurological picture
Is transcranial colour Duplex flow imaging of use in selection of patients with acute stroke for thrombolysis?
  1. GÉRALD DEVUYST,
  2. NAZIRE AFSAR
  1. Centre Hospitalier Universitaire Hospitalier Vaudois, Service de Neurologie, BH-07, Rue du Bugnon 46, 1011 Lausanne, Switzerland
  1. Dr Gérald Devuyst Gerald.Devuyst{at}chuv.hospvd.ch

https://doi.org/10.1136/jnnp.68.6.794

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    A 55 year old woman with an infarction in the left middle cerebral artery (MCA) territory, was investigated by transcranial colour Duplex flow imaging (TCDFI) in the emergency room 130 minutes after stroke onset, diagnosing a left MCA occlusion (figure A) confirmed by angiography (figure B). After an intra-arterial thrombolysis with infusion of 1.25 million units urokinase over 1.5 hours, a recanalisation of the left MCA M1 and partially of …

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