Sciatic nerve palsy due to hematoma after thrombolysis therapy for acute pulmonary embolism after total hip arthroplasty.
Sciatic nerve paralysis as a complication of bleeding due to hip surgery is a rare entity. The use of thrombolysis and full-dose heparin administration for the treatment of massive pulmonary embolism increase the risk for developing major bleeding. Prompt recognition and intervention in this condition are warranted. A case of sciatic nerve palsy due to expanding thigh hematoma as a complication of thrombolytic therapy for pulmonary embolism after total hip arthroplasty is presented with a literature review. Although rare, this complication should be promptly recognized and immediate decompression should take place because of the favorable results of the early treatment.
Weil
Yoram
Y
Department of Orthopaedic Sugery, Hadassah Hebrew University Hospital, Jerusalem 91120, Israel.
Mattan
Yoav
Y
Goldman
Vladimir
V
Liebergall
Meir
M
D000208:Acute Disease; D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000139:chemically induced / Q000150:complications* / Q000000981:diagnostic imaging; D006493:Heparin / Q000009:adverse effects / Q000627:therapeutic use; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D011655:Pulmonary Embolism / Q000517:prevention & control*; D020426:Sciatic Neuropathy / Q000209:etiology*; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
D000925:Anticoagulants; D006493:Heparin