Airway compromise secondary to lingual hematoma complicating administration of tissue plasminogen activator for acute ischemic stroke.
case_report · Level V
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- Record sourced from PubMed, PMID 11574803.
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Abstract
Hemorrhagic complications of tissue plasminogen activator (tPA) are well known. We report a case of a lingual hematoma that developed after tPA administration for an acute ischemic stroke that necessitated orotracheal intubation to maintain the patient's airway. This case demonstrates the need for thorough preadministration physical examination, as well as careful monitoring during infusion and after administration of this potent therapeutic agent.
Medical subject headings
- Airway Obstruction
- Hematoma
- Stroke
- Tissue Plasminogen Activator
- Tongue Diseases