Benign angioedema after thrombolysis for acute stroke.
We present a case of acute angioedema after administration of recombinant tissue plasminogen activator (t-PA) for acute ischemic stroke. Our patient was treated with t-PA in accordance with the National Institute of Neurological Disorders and Stroke (NINDS) protocol, and subsequently developed angioedema of the lower lip that subsided within 2 hours. Five patients who required upper airway control after the use of t-PA for ischemic stroke have been reported in the literature. Although the outcome in our case was excellent, development of angioedema after t-PA administration is a potential complication of which treating physicians need to be aware.
Papamitsakis
N I
NI
Oregon Stroke Center, Oregon Health Sciences University, Portland, Oregon, USA.
Kuyl
J
J
Lutsep
H L
HL
Clark
W M
WM