Abstract
It is well-known that spontaneous recanalization of the occluded arteries is often observed [4, 9, 12]. Several studies have documented a fairly high frequency of spontaneous recanalization for internal carotid artery (ICA) and middle cerebral artery (MCA) occlusion using serial angiography, spaced days or weeks apart [3, 8, 10, 11, 17, 23]. Spontaneous recanalization is at least partly responsible for patent cerebral arteries at the moment of initial angiographic examination [2, 6, 7, 13, 18–20]. Limited information about the incidence of early spontaneous recanalization indicates that spontaneous recanalization may occur within hours of ictus [4, 14, 21]. However, when or how early spontaneous recanalization occurs remains unclear. Before Unking the use of thrombolytic agents with recanalization, a comprehensive understanding of the natural history of the occlusive lesion is necessary.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Adams RJ, Meador KJ, Sethi KD, Grotta JC, Thompson DS (1987) Graded neurological scale for use in acute hemispheric stroke treatment protocols. Stroke 18:665–669
Allock JM (1967) Occlusion of the middle cerebral artery: Serial angiography as a guide to conservative therapy. J Neurosurg 27:353–363
Bladin PF (1964) A radiologic and pathologic study of embolism of the internal carotid-middle cerebral arterial axis. Radiology 82:615–625
Dalai PM, Shah PM, Sheth SC, Deshpande CK (1965) Cerebral embolism: Angiographic observations on spontaneous clot lysis. Lancet 1:61–64
del Zoppo GJ, Pessin MS, Mori E, Hacke W (1991) Thrombolytic intervention in acute thrombotic and embolic stroke. Semin Neurol 11:368–384
del Zoppo GJ, Poeck K, Pessin MS, and 16 coauthors of the rt-PA Acute Stroke Study Group (1992) Recombinant tissue plasminogen activator in acute thrombotic and embolic stroke. Ann Neurol 32:78–86
Fieschi C, Argentino C, Lenzi GL, Sacchetti ML, Toni D, Bozzao L (1989) Clinical and instrumental evaluation of patients with ischemic stroke within the first six hours. J Neurol Sci 91:311–321
Fieschi C, Bozzao L (1969) Transient embolic occlusion of the middle cerebral and internal carotid arteries in cerebral apoplexy. J Neurol Neurosurg Psychiatry 32:236–240
Fisher M, Adams RD (1951) Observations on brain embolism with special reference to the mechanism of hemorrhagic infarction. Neuropathol Exp Neurol 10:92–94
Irino T, Taneda M, Takaku M (1977) Angiographic manifestations in postrecanalized cerebral infarction. Neurology 27:471–475
Ito Z, Suzuki A, Hen R, Menura K (1983) Prognostic factors in spontaneous recanalization of middle cerebral artery occlusion. In: Ito Z, Kutsuzawa T, Yasui N (eds) Cerebral ischemia — An update. Excerpta Medica, Amsterdam, p 159
Lehrer GM (1958) Arteriographic demonstration of collateral circulation in cerebrovascular disease. Neurology 8:27–32
Lhermitte F, Gautier JC, Derouesn C, Guiraud B (1968) Ischemic accidents in the middle cerebral artery territory. A study of the causes in 122 cases. Arch Neurol 19:248–256
Liebeskind A, Chinichian A, Schechter MM (1971) The moving embolus seen during serial cerebral angiography. Stroke 2:440–443
Little JR, Furlan AJ (1985) Resolving occlusive lesions of the basilar artery. Neurosurgery 17:811–814
Mori E, Yoneda Y, Tabuchi M, et al (1992) Intravenious recombinant tissue plasminogen activator in acute carotid artery territory stroke. Neurology 42:976–982
Olsen TS, Skiriver EB, Herning M (1985) Cause of cerebral infarction in the carotid territory. Its relation to size and the location of the infarct and to the underlying vascular lesion. Stroke 16:459–466
Silverstein A (1965) Arteriography of stroke. Arch Neurol 13:441–446
Sindermann F, Dichgans J, Bergleiter R (1969) Occlusion of the middle cerebral artery and its branches: Angiographic and clinical correlates. Brain 92:607–620
Solis OJ, Roberson GR, Taveras JM, Mohr J, Pessin MS (1977) Cerebral angiography in acute cerebral infarction. Revist Interam Radiol 2:19–25
Taneda M, Shimada N, Tsuchiya T (1985) Transient neurological deficits due to embolic and reopening of the cerebral arteries. Stroke 16:522–524
Yamaguchi T (1992) Intravenous tissue plasminogen activator in acute thromboembolic stroke: A placebo-controlled, double-blind trial. In: 2nd International Symposium on Thrombolytic Therapy for Acute Ischemic Stroke (this Proceeding)
Yamaguchi T, Minematsu K, Choki J-I, Ikeda M (1984) Clinical and neuroradiological analysis of thrombotic and embolic cerebral infarction. Jpn Circ J 48:50–58
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Mori, E., Yoneda, Y. (1993). Early Spontaneous Recanalization of Thromboembolic Stroke. In: del Zoppo, G.J., Mori, E., Hacke, W. (eds) Thrombolytic Therapy in Acute Ischemic Stroke II. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78061-5_19
Download citation
DOI: https://doi.org/10.1007/978-3-642-78061-5_19
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-56442-3
Online ISBN: 978-3-642-78061-5
eBook Packages: Springer Book Archive