Intravenous Thrombolysis in Stroke Patient with Previous ICH History and Warfarin Consumption Even for Second Time

Background and Aim: According to the contraindication usage of IV thrombolysis for patients with previous ICH  in guideline and Because  of different outcome about use of  IV TPA  in patient with previous ICH & Warfarin consumption  which hasnchr('۳۹')t reported yet,it made us try it And it had therapeutic result. Case Report: Y/O woman with sudden left hemiplegia that she had ICH ۶ months ago and because of AF was on warfarin.she was diagnosed with ischemic CVA and NIHSS:۲۰ at first   but after twice injection of  IV TPA ,finally  discharged with NIHSS :۳ . Conclusion: In this treatment procedure there was a CVA patient on warfarin consumption elected for IV thrombolysis and some complications happened :such as second CVA in one week later after first IV TPA injection, and then she had second IV thrombolysis but finally it caused to discharge symptom free.According to severity  of CVA in any patient and past history  of them,itchr('۳۹')s possible to use IV TPA injection.

Keywords:

Hemiplegia , Ischemic CVA , NIHSS , Second injection , TPA Warfarin