Upper limb compartment syndrome: an unusual complication of stroke thrombolysis.

Autor: Brownlee WJ; Department of Neurology, Auckland District Health Board, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand. Electronic address: wallaceb@adhb.govt.nz., Wu TY; Department of Neurology, Auckland District Health Board, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand., Van Dijck SA; Department of Orthopaedics, Auckland District Health Board, Auckland, New Zealand., Snow BJ; Department of Neurology, Auckland District Health Board, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand.
Jazyk: angličtina
Zdroj: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [J Clin Neurosci] 2014 May; Vol. 21 (5), pp. 880-2. Date of Electronic Publication: 2013 Nov 28.
DOI: 10.1016/j.jocn.2013.07.018
Abstrakt: Bleeding is the most important complication of treatment with intravenous tissue plasminogen activator for acute ischemic stroke. Neurologists are familiar with intracranial hemorrhage, the most feared site for bleeding following thrombolysis, but extracranial bleeding can also occur resulting in substantial morbidity and mortality. We describe an 88-year-old woman with an acute stroke who developed bleeding into the left arm complicated by hemodynamic instability and compartment syndrome following intravenous thrombolysis. The patient was treated conservatively in view of the risks associated with fasciotomy and her other medical comorbidities.
(Copyright © 2013 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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