Spinal epidural hematoma complicating thrombolytic therapy with tissue plasminogen activator - A case report

被引:14
作者
Clark, MA
Paradis, NA
机构
[1] St Lukes Roosevelt Hosp, Dept Emergency Med, New York, NY USA
[2] Columbia Univ Coll Phys & Surg, Dept Med, New York, NY 10032 USA
关键词
thrombolysis; intraspinal hemorrhage; case report;
D O I
10.1016/S0736-4679(02)00546-2
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Patients who receive thrombolytic therapy are at risk of central nervous system (CNS) hemorrhage, and this diagnosis must be sought in any patient who develops neurologic complaints after thrombolysis and anticoagulation. Early imaging and neurosurgical consultation are essential to improve outcome after hemorrhage occurs. We describe a patient who developed spinal epidural hematoma (SEH) after thrombolysis and anticoagulation for acute myocardial infarction. Delay in diagnosis and management may have contributed to a poor outcome. The literature on SEH is reviewed, and approaches to improve the prognosis of patients suffering CNS hemorrhage after thrombolysis are discussed. (C) 2002 Elsevier Science Inc.
引用
收藏
页码:247 / 251
页数:5
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