Skip to main content

Basilar Artery Occlusion Associated with Protein C Deficiency: Successful Treatment Using Recombinant Tissue Plasminogen Activator Infusion

  • Conference paper
Book cover Thrombolytic Therapy in Acute Ischemic Stroke

Abstract

Protein C is a vitamin K-dependent serine protease with both anticoagulant and fibrinolytic properties. Its absence or reduced concentration is frequently associated with an increased risk for venous thrombosis, but only rarely with arterial thrombotic disorders. We describe a young woman with partial protein C deficiency who developed acute basilar artery occlusion associated with progressive, life-threatening brain stem dysfunction. Recanalization was safely achieved by intravenous use of clot-selective fibrinolytic agents.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bertina RM, Broekmans AW, Krommenhoek-van Es C, Wijngaarden A van (1984) The use of a functional and immunologic assay for plasma protein C in the study of the heterogeneity of congenital protein C deficiency. Thromb Haemost 51:1–5

    PubMed  CAS  Google Scholar 

  2. Clouse LH, Comp PC (1986) The regulation of hemostasis: the protein C system. N Engl J Med 314:1298–1304

    Article  PubMed  CAS  Google Scholar 

  3. Coller BS, Owen J, Jesty J, Horowitz D, Reitman MJ, Spear J, Yeh T, Comp PC (1987) Deficiency of plasma protein S, protein C, or antithrombin III and arterial thrombosis. Arteriosclerosis 7:456–462

    Article  PubMed  CAS  Google Scholar 

  4. Hacke W, Zeumer H, Ferbert A, Briickmann H, del Zoppo GJ (1988) Intraarterial thrombolytic therapy improves outcome in patients with acute vertebrobasilar occlusive disease. Stroke 19:1216–1222

    Article  PubMed  CAS  Google Scholar 

  5. Israels SJ, Seshia SS (1987) Childhood stroke associated with protein C or S deficiency. J Pediatr 111:562–5641

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer-verlag Berlin Heidelberg

About this paper

Cite this paper

Wildemann, B., von Kummer, R., Hutschenreuter, M., Krieger, D., Hacke, W. (1991). Basilar Artery Occlusion Associated with Protein C Deficiency: Successful Treatment Using Recombinant Tissue Plasminogen Activator Infusion. In: Hacke, W., del Zoppo, G.J., Hirschberg, M. (eds) Thrombolytic Therapy in Acute Ischemic Stroke. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76439-4_36

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-76439-4_36

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-53680-2

  • Online ISBN: 978-3-642-76439-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics