An82-year-oldright-handedwomanpresentingwithasudden-onsetlanguagedeficitwasinitiallyevaluatedinaregionalhospital,withanunremarkableheadMRIwithgadoliniumandprogressivefullrecoveryofthelanguagedeficit.Twohourslater,shepresentedasecondepisodeofaphasiaandwastransferredtoourdepartmentforevaluationofIVthrombolysis(withinaEuropeantimewindowof4hoursand30minutes),arriving1hourand40minutesaftersymptomonset.
82岁女性,右利手,突发失语,医院,查头颅增强核磁阴性,临床症状逐渐完全缓解。2小时后患者再发失语,于症状发生后1小时40分钟后转至我院行静脉溶栓治疗(4.5小时时间窗)。
Examinationrevealedglobalaphasiawithreducedspontaneousspeech,deficitsinnaming,andimpaired