Does Mild Deficit for Patients with Stroke Justify the Use of Intravenous Tissue Plasminogen Activator?

The objective of this retrospective study was to assess the outcomes of patients at our stroke center who received IV t-PA treatment for acute ischemic stroke, within 3 hours of symptom onset, outside the setting of a clinical trial and had a NIHSS score of less than or equal to 10 compared with historic control subjects. There were 52 patients who received IV t-PA for acute ischemic stroke. Of those, 31 (male 44% [n = 14]) had a NIHSS score of 10 or less (mean NIHSS score 6 ± 2). The mean age was 61 ± 14 years, the mean NIHSS score was 6 ± 2, and the mean modified Rankin scale (mRS) score was 1.4 ± 1.5. We identified 98 patients (male 74% [n = 73]) in the National Institute of Neurological Disorders and Stroke IV recombinant t-PA study placebo group. The mean age was 65 ± 13 years, t…

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