Cortical Superficial Siderosis and Risk of Bleeding after Thrombolysis for Ischemic Stroke.

@article{Gattringer2015CorticalSS,
  title={Cortical Superficial Siderosis and Risk of Bleeding after Thrombolysis for Ischemic Stroke.},
  author={Thomas Gattringer and Sebastian Eppinger and Markus Beitzke and Gerit Wuensch and Kurt Niederkorn and Hannes Deutschmann and Franz Fazekas and Christian Enzinger},
  journal={Cerebrovascular diseases},
  year={2015},
  volume={40 3-4},
  pages={191-7}
}
BACKGROUND Cortical superficial siderosis (CSS) is a neuroimaging marker of cerebral amyloid angiopathy and has been associated with a high risk for early subsequent major intracranial hemorrhage (ICH). Therefore, many experts recommend withholding of antithrombotic medication to patients with CSS. In this study, we sought to investigate the prevalence of CSS and the associated risk of ICH in the setting of intravenous thrombolysis (IVT) for ischemic stroke. METHODS We retrospectively… CONTINUE READING

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All of them had a middle cerebral artery ( MCA ) stroke with a corresponding vessel occlusion .
The 76-year - old female patient had extensive CSS and numerous cerebral microbleeds and received another IVT treatment for recurrent MCA stroke 8 months after the first event .
Cortical superficial siderosis ( CSS ) is a neuroimaging marker of cerebral amyloid angiopathy and has been associated with a high risk for early subsequent major intracranial hemorrhage ( ICH ) .
All of them had a middle cerebral artery ( MCA ) stroke with a corresponding vessel occlusion .
The 76-year - old female patient had extensive CSS and numerous cerebral microbleeds and received another IVT treatment for recurrent MCA stroke 8 months after the first event .
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