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Updated: Jul 2, 2026

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
[Thrombolysis for stroke in a 93-year-old female: report of a case]
Andrés Reccius1, Sergio Illanes, Arturo Jaramillo
1Unidad de Ataque Cerebrovascular, Departamento de Neurología-Neurocirugía, Hospital Clínico de la Universidad de Chile, Santiago, Chile.
Abstract:
Most studies evaluating the usefulness of intravenous thrombolysis for acute stroke have excluded subjects aged over 80 years. Therefore there is no evidence to support or contraindícate this therapy in this age group. We report a 93 year-old female subjected to intravenous thrombolysis using tissue plasminogen activator (r-tPA), according to the National Institute of Neurological Disorders protocol. The treatment was successful, there were no hemorrhagic complications and three months later, the patient was practically without any disability. Therefore age is not an absolute contraindication for intravenous thrombolysis in elderly subjects.
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