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Patients with stroke on awakening are denied the potential benefit of thrombolysis on the grounds that the onset time is unknown. Relying on clinical and MR imaging to indicate the most appropriate treatment could be more rational. We report 2 cases of stroke with unknown onset time. In both cases, anamnesis and MR imaging indicated that we might still be within 6 hours from stroke onset, with salvageable tissue. Arterial recanalization was successfully performed in both cases. |
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cerebrovascular accident
cerebrovascular accident,awakening with
cerebrovascular accident,thrombolytic agents in treatment
cerebrovascular accident,time of onset
cerebrovascular accident,time to treatment
fibrinolytic agents
fibrinolytic therapy,selection criteria
fibrinolytic therapy,timing of administration
ischemic penumbra
MRI
MRI,abnormal
MRI,mismatch between perfusion/diffusion
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