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COMMENTS AND OPINIONS
Thrombolysis in Acute Ischemic Stroke With Vitreous Hemorrhage—Reply
Aftab Ahmad, MRCP;
Hock L. Teoh, MRCP;
Vijay K. Sharma, MRCP, RVT
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In reply
We read with interest the comments by Sethi and Moudgil et al regarding our case report.1 We appreciate their confession that they missed the vitreous hemorrhage until it was pointed out in the manuscript. Even we detected it only on a second look at the brain computed tomographic scan.
We agree with Sethi et al that vitreous hemorrhage is not listed as a contraindication for systemic thrombolysis. However, we would like to draw their attention to the current guidelines,2 which mention that patients with "no evidence of active bleeding" can be considered for thrombolysis. We agree with Moudgil that knowing the duration of the vitreous hemorrhage could be important because a relatively older vitreous hemorrhage is less likely to rebleed. Our patient was aphasic and, in absence of any history of visual problems of recent onset, . . . [Full Text of this Article] AUTHOR INFORMATION
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Would You Perform Thrombolysis in This Acute Ischemic Stroke Patient?
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Thrombolysis in Acute Ischemic Stroke With Vitreous Hemorrhage
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Arch Neurol. 2009;66(9):1178.
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