| Autor: |
Souper N; From the Department of Anesthesia, Faculty of Medicine, Clinical Hospital of the University of Chile, Santiago, Chile., Jiménez C, Maldonado F |
| Jazyk: |
angličtina |
| Zdroj: |
A&A practice [A A Pract] 2018 Dec 01; Vol. 11 (11), pp. 304-308. |
| DOI: |
10.1213/XAA.0000000000000813 |
| Abstrakt: |
Decompressive craniectomy (DC) is a therapeutic alternative for reducing intracranial pressure after a middle cerebral artery stroke. If thrombolytic therapy is administered, craniectomy is usually postponed for at least 24 hours due to a risk of severe bleeding. We describe a case in which DC was performed on a 38-year-old man who received thrombolytic therapy for an ischemic stroke involving the middle cerebral artery. His neurological and hemodynamic status worsened during its administration, and DC was performed 6 hours after thrombolysis was performed. Fibrinolytic coagulopathy was successfully managed by monitoring fibrinogen levels and with the administration of cryoprecipitate and tranexamic acid. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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