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MRI-Guided Thrombolysis for Stroke with Unknown Time of Onset
NEJM 379:611-622, 682, Thomalla, G.,et al, 2018
See this aricle in Pubmed

Article Abstract
In patients with acute stroke with an unknown time of onset, intravenous alteplase guided by a mismatch between diffusion-weighted imaging and FLAIR in the region of ischemia resulted in a significantly better functional outcome and numerically more intracranial hemorrhages than placebo at 90 days.
 
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cerebrovascular accident,acute management of
cerebrovascular accident,awakening with
cerebrovascular accident,thrombolytic agents in treatment
cerebrovascular accident,unknown time of onset
complications
efficacy
fibrinolytic agents
fibrinolytic therapy,selection criteria
gastrointestinal bleeding
intracerebral hemorrhage
MRI,abnormal
MRI,mismatch between DWI/FLAIR
neoplasm,intracranial-incidence and epidemiology of
safety
screening
tissue plasminogen activator,intravenous
treatment of neurologic disorder
WAKE-UP trial

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