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KMID : 1202320140070020143
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Brain & NeuroRehabilitation
2014 Volume.7 No. 2 p.143 ~ p.146
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Early Recurrent Right Basal Ganglia Infarction after Intravenous Thrombolysis for Left Basal Ganglia Infarction Management
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Ji Hye-Min
Suh Jee-Hyun
Won Yu-Hui
Yoon Tae-Sik
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Abstract
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A 43-year-old man with no notable medical history was admitted due to sudden onset dysarthria and right side weakness. The man was diagnosed with acute infarction of left basal ganglia (BG) and uncontrolled diabetes mellitus (DM). After 9 hours post the thrombolysis, mental change and left side weakness symptoms were newly observed, and the man was additionally diagnosed with acute infarction in right BG.The man showed symptoms of quadriplegia and was fed through nasogastric tube. He showed motor aphasia, and no signs of phonation,but showed some indications of intact cogni-tion.After rehabilitation therapies, the man showed marginal improvement in motor function, but still lacked any mean-ingful changes functionally. This is the first case of symmetric bilateral BG infarction, which one-sided infarction addition-ally occurred within 24 hours post the treatment of contralateral infarction through thrombolysis. Also,the features observed were atypical while the patient has no previous external causes related with bilateral BG infarction.
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KEYWORD
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basal ganglia, recurrent stroke, thrombolytic therapy
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