We report a case of acute stroke within 3 hour onset admitted to the emergency room Cipto Mangunkusumo Hospital (RSCM), Jakarta. The RSCM Code Stroke protocol was then initiated which included clinical examination and neuroim- aging. Head CT scan showed no intracranial hemorrhage. The patient received intravenous thrombolysis therapy using alteplase 0.6mg/kg body weight. Mechanical thrombectomy was subsequently performed to retrieve the blood clot within the left medial cerebral artery. The patient was monitored for 24 hours after the procedure to ensure optimal blood pressure and other metabolic parameters. The patient experienced significant improvement during hospitalization. The NIHSS score was improved from 15 at admission to 8 at the time of discharge, without intracranial bleeding complication.
|Published - 1 Jun 2017
- Code Stroke, ischemic stroke, mechanical thrombectomy