Ultra-early intravenous thrombolytic therapy for recurrent ischemic stroke after transient ischemic attack

An 89-year-old woman was admitted to our stroke care unit because of transient ischemic attack caused by cardioembolic occlusion of the right internal carotid artery. She developed recurrent ischemic stroke shortly after hospitalization. She was very quickly treated with intravenous tissue plasminogen activator, because she had been just hospitalized, and had a favorable outcome. Earlier thrombolysis to patients with ischemic stroke is associated with better outcomes. Hospitalization in a stroke care unit is useful for close observation of patients with transient ischemic attack, and allows timely administration of tissue plasminogen activator.