Spinal subdural hematoma following tissue plasminogen activator treatment for acute ischemic stroke.
A 49-year-old woman with an acute ischemic stroke was treated by the intravenous administration of tissue plasminogen activator within 2 h of symptom onset. She complained of severe upper thoracic back pain the following day. Progressive paraparesis was detected on the third admission day. Spinal MRI demonstrated an acute anterior subdural hematoma from the C7 to T2 level. An urgent laminectomy was performed. Neurologists must be aware of the possibility that neck or back pain after thrombolysis for ischemic stroke may be the first presenting symptom of spinal hematoma.
Kim
So-Hyun
SH
Department of Neurology, Inha University College of Medicine, Incheon, Republic of Korea.
Choi
Seong Hye
SH
Song
Eun Cheol
EC
Rha
Joung-Ho
JH
Kim
Sung Rae
SR
Park
Hyoung Chun
HC
D005260:Female; D046649:Hematoma, Subdural, Spinal / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D020521:Stroke / Q000188:drug therapy*; D010959:Tissue Plasminogen Activator / Q000009:adverse effects*
D010959:Tissue Plasminogen Activator