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Keywords:

  • apparent diffusion coefficients;
  • diffusion-weighted imaging;
  • gradient-echo MRI;
  • lacunar infarct;
  • magnetic resonance imaging;
  • recombinant tissue plasminogen activator;
  • thrombolysis

Background and purpose:  We report a case of intravenous thrombolysis in a patient with early recurrent stroke. A 62-year-old man recovered nearly completely after a lacunar infarct of the left putamen. He suffered stroke recurrence 7 days later due to a new infarct in the left internal capsule. Intravenous alteplase 0.9 mg/kg was administered 40 min after the symptom onset resulting in significant neurologic improvement.

Conclusion:  Intravenous thrombolysis may be safe for early recurrent lacunar stroke in patients with relatively small risk of hemorrhage.