Spinal epidural hematoma following coronary thrombolysis with tissue plasminogen activator. Report of two cases.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 7616284.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
Two cases of spinal epidural hematoma following intravenous administration of recombinant tissue-type plasminogen activator are presented. Both patients received thrombolytic therapy for acute myocardial infarction; back pain and progressive neurological dysfunction ensued, secondary to spinal cord compression caused by epidural hematoma. Both individuals underwent emergency surgery for decompression and hematoma evacuation, resulting in improvement in neurological function. The current status of thrombolytic therapy is reviewed, with emphasis on complications of therapy that require neurosurgical intervention.
Medical subject headings
- Hematoma, Epidural, Cranial
- Myocardial Infarction
- Thrombolytic Therapy
- Tissue Plasminogen Activator