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Successful Thrombolytic Treatment of Intracranial Carotid Occlusion Due to Dissection

Low recanalization rates have been reported in angiography-controlled thrombolytic therapy of ICA occlusion due to atherothrombosis [1–3]. Thus, patients with ICA occlusion, especially when it extends to the intracranial bifurcation (carotid T), are considered poor candidates for thrombolysis [4]. Only one series of patients with proven carotid T occlusion treated with systemic fibrinolysis has been reported [5]. We present a patient with extensive extraand intracranial ICA occlusion due to traumatic dissection, who successfully underwent systemic thrombolysis.