Two cases of acute stroke with 4 hours onsetwere included into the Cipto Mangunkusumo Hospital (RSCM) Code Stroke protocols at the Emergency Room of the RSCM, Jakarta. Clinical examination and neuroimaging were performed immediately. The time needed for the interpretation of computed tomography scan (CT scan) was 30 minutes, from patient’s arrival to confirm absence of intracranial bleeding. Intravenous thrombolysis therapy using alteplase 0.6mg/kg body weight was then given. Strict 24-hour monitoring was carried out to control blood pressure and other metabolic parameters. During the treatment period, the patients improved clinically. The patient’s NIHSS scores upon admission and discharge were 7 and 4, respectively. Intracranial bleeding complications did not occur.
|Publication status||Published - 2014|