Abstract
We report an 89-year-old male under oral anticoagulant therapy with a therapeutic international normalized ratio, presenting at the emergency room with right side hemiparesis and aphasia. Neuroimaging was compatible with an acute middle cerebral artery ischemic stroke. Anticoagulation was reverted with the use of four factor prothrombin complex, followed by thrombolysis with alteplase, with a favorable evolution, returning to his basal functional status.
MeSH terms
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Acenocoumarol / administration & dosage
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Acenocoumarol / adverse effects*
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Administration, Intravenous
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Aged, 80 and over
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Amlodipine / administration & dosage
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Amlodipine / adverse effects*
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Humans
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Infarction, Middle Cerebral Artery / drug therapy*
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Infarction, Middle Cerebral Artery / etiology
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Male
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Metformin / administration & dosage
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Metformin / adverse effects*
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Prothrombin / administration & dosage*
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Stroke / drug therapy*
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Stroke / etiology
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Thrombolytic Therapy / methods*
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Tomography, X-Ray Computed
Substances
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Amlodipine
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Prothrombin
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Metformin
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Acenocoumarol