Thrombolysis Beneficial in Mild Stroke?
Two small retrospective studies have suggested that revascularization therapy may be beneficial for patients with mild acute ischemic stroke. Both studies were presented at the recent 24th European Stroke Conference (ESC). In the second study, Ivan Matoz Diaz, MD, Mount Sinai Beth Israel Hospital, New York, reported a retrospective chart review of stroke patients presenting to an academic stroke center within 4.5 hours of onset who had an NIHSS score of 5 or less or rapidly improving deficit and who received tPA (n = 22) or conservative treatment (n = 68). Results showed that patients who received tPA had a greater chance of NIHSS score improvement at discharge.
-Ivan Matoz Diaz, MD, Neurologist, Mount Sinai Beth Israel