scholarly journals The first patient treated with a triple combination therapy after recurrent ischemic stroke

2019 ◽  
Vol 12 (3) ◽  
pp. 230-232
Author(s):  
Andreas Winkler ◽  
◽  
◽  
Irmgard Zelenka ◽  
Elisabeth Schweng ◽  
...  

This case report presents the evolution of a patient with recurrent ischemic stroke, in the context of treatment with multimodal agent cerebrolysin, as an add-on to neurological rehabilitation and tDCS therapy. The patient was evaluated before and after treatment using a battery of tests such as the Nine-Hole Peg Test, handgrip force, Functional Hand Scale (1-5), Action Research Arm Test (ARAT), Active Range of Motion (AROM) for the left shoulder, registering visible improvements in functional motor recovery after this therapeutic combination.

2021 ◽  
Vol 16 ◽  
Author(s):  
Ermanno Pisani ◽  
Carmen Gaudiano ◽  
Alfredo Petrone ◽  
Furio Stancati ◽  
Antonio Siniscalchi

Background: Angioedema, like anaphylaxis, has been reported as a rare adverse event of alteplase infusion in acute ischemic stroke. Objective: We report the case of a patient with acute ischemic stroke who after treatment of alteplase developed angioedema. Methods: We report the case of an 81-year-old woman who presented to our observation with acute ischemic stroke. The patient was on therapy with 100 mg acetylsalicylic acid and a triple combination antihypertensive drug (perindopril 10 mg + 2.5 mg indapamide + 5 mg amlodipine). The patient was treated with alteplase infusion. Results: Five minutes after the end of the alteplase infusion (0.9 mg/kg for 1 hour) the patient developed isolated angioedema of the lips and tongue. Conclusion: Although the incidence of alteplase-induced angiodema in these patients is rare, this case report suggests the need for routine inspection of the tongue in acute ischemic patient in treatment with alteplase infusion, especially in female patients in treatment with ACE inhibitors.


Author(s):  
Malkhaz Makashvili ◽  
Bakur Kotetishvili ◽  
Irma Khachidze ◽  
Alexandre Kotetishvili ◽  
Teona Gubianuri

2012 ◽  
Vol 3 (5) ◽  
pp. 455-457
Author(s):  
Dr .KOUSHIK GUDAVALLI ◽  
◽  
Dr .SHILPA CHIKATI ◽  
Dr .MOHAN RAO JAKKAMPUTI ◽  
Dr .KAMAL LOCHAN BEHERA ◽  
...  

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