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  This 45 yr old business man, known diabetic and underwent bypass surgery 6yrs back, reading news paper at 8.30am in lying position was unable to hold the news paper with his left hand, he got up and while walking he noticed that his left arm and left leg was felt heaviness and numbness with slurred speech. He rushed to our Ankineedu Stroke Unit at 09.10 am, seen by Neurophysician Dr.P.Vijaya diagnosed paralysis stroke, immediately send to CT brain and shifted to Intensive care. As he brought to hospital within 3 hours, considered for Intra Venous

Thrombolytic therapy and administered the drug rt-PA. Immediately after 1 hr patient started improving. At the time of discharge patient completely recovered and walked without support.

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