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Thrombolysis for acute stroke in Australia

Brendon J Smith
Med J Aust 2011; 194 (4): 212-213.
Published online: 21 February 2011

To the Editor: Waxman’s prompt recovery after a stroke was probably a stroke of luck,1 unless perhaps Saint Mary MacKillop was involved. Amid the conflicting evidence on the effect of thrombolysis on recovery in ischaemic stroke, one fact is beyond doubt — thrombolysis gives no greater improvement at 24 hours than placebo.2 It is the various measures of recovery at 3 months, and the risks of adverse outcomes from protocol violations in administering thrombolysis, that are less clear.

  • Brendon J Smith

  • Bankstown-Lidcombe Hospital, Sydney, NSW.


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