Intravenous Thrombolysis for a Stroke Mimic Patient

Lilly Nguyen; Joyce Hoonsuh Lee; Latha Ganti; Mark Rivera-Morales; Larissa Dub

doi:10.1159/000519764

Intravenous Thrombolysis for a Stroke Mimic Patient

Case Rep Neurol. 2021 Oct 25;13(3):704-709. doi: 10.1159/000519764. eCollection 2021 Sep-Dec.

Authors

Lilly Nguyen¹, Joyce Hoonsuh Lee², Latha Ganti^{3

4

5}, Mark Rivera-Morales^{3

4}, Larissa Dub^{3

4

5}

Affiliations

¹ Trinity Preparatory School, Winter Park, Florida, USA.
² Department of Biology, Brown University, Providence, Rhode Island, USA.
³ Department of Emergency Medicine, University of Central Florida, Jacksonville, Florida, USA.
⁴ Envision Physician Services, Plantation, Florida, USA.
⁵ HCA Healthcare, Nashville, Tennessee, USA.

Abstract

The authors present the case of a young woman on phentermine and herbal supplements who presented as an acute stroke alert with right-sided facial droop and numbness. She was treated acutely with intravenous tissue plasminogen activator (tPA). However, the workup did not reveal any evidence of cerebrovascular disease or cerebral infarct. The authors discuss plausible stroke mimics and the safety of administering tPA to such patients.

Keywords: Intravenous thrombolysis; Phentermine; Stroke mimics.

Publication types

Case Reports