title: Spinal Epidural Hematoma as a Complication of Intravenous Thrombolysis in an Acute Ischemic Stroke Patient.
abstract: An 80-year-old white male suffered a stroke, fell to the floor, and suffered acute right hemiparesis and facial palsy. After an intravenous alteplase infusion 2.5 h later, the patient first complained of numbness in his right arm, then neck pain, followed by left leg numbness and slowly progressing paraparesis. MRI of the spine demonstrated an acute spinal dorsal epidural hematoma extending from the C6 to the T6 level; 12 h later, he underwent hematoma evacuation and laminectomy. Three months after surgery, the patient was paraplegic with moderate sensory loss below mamillary level. Acute ischemic stroke is often associated with a sudden fall, which, after thrombolysis, may result in unusual hemorrhagic complications.
authors.affiliation: Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland.
authors.forename: Ron
authors.initials: R
authors.lastname: Liebkind
authors.forename: Jukka
authors.initials: J
authors.lastname: Putaala
authors.forename: Mika
authors.initials: M
authors.lastname: Leppä
authors.forename: Jukka
authors.initials: J
authors.lastname: Oula
authors.forename: Turgut
authors.initials: T
authors.lastname: Tatlisumak