• J Neuroimaging · Apr 2013

    Case Reports

    Dramatic changes of a DWI lesion in a patient with acute ischemic stroke treated with IV t-PA.

    • Yuki Sakamoto, Kazumi Kimura, Yasuyuki Iguchi, Kensaku Shibazaki, and Junya Aoki.
    • Kawasaki Medical School-Stroke Medicine, Kurashiki, Japan. ysakamoto02@gmail.com
    • J Neuroimaging. 2013 Apr 1;23(2):228-30.

    AbstractA diffusion-weighted imaging (DWI) lesion changed dramatically in a hyperacute stroke case treated with intravenous tissue-plasminogen activator (IV t-PA). The initial hyperintense lesion on DWI disappeared completely immediately after IV t-PA treatment without improvement of neurological symptoms. However, the lesion reappeared 24 hours later. Successful thrombolysis can resolve DWI lesions but does not always improve the neurological symptoms.Copyright © 2011 by the American Society of Neuroimaging.

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