title: Successful outcome after evacuation of intracranial hematoma following thrombolysis in acute myocardial infarction.
abstract: Thrombolytic therapy is the modality of choice for the treatment of life threatening thrombosis in various vascular territories and nowadays, is used extensively in the setting of acute myocardial infarction. There is, however, the omnipresent danger of serious bleeding inherently associated with the use of all thrombolytics which if it occurs in the brain, can lead to potentially serious neurological impairment and even death. In our report, we describe the successful surgical management of a streptokinase-induced intracranial hemorrhage. Timely neurosurgical intervention is advocated as the optimal approach for this particular side effect of thrombolytic agents.
authors.affiliation: Department of Internal Medicine, Riyadh Medical Complex, PO Box 3847, Riyadh 11481, Kingdom of Saudi Arabia.  Tel./Fax. +966 (1) 4783446. E-mail: tarig_alkhuwaitir@hotmail.com.
authors.forename: Tarig S
authors.initials: TS
authors.lastname: Al-Khuwaitir
authors.forename: Bashir A
authors.initials: BA
authors.lastname: Wani
authors.forename: Helmi A
authors.initials: HA
authors.lastname: Dawood
authors.forename: Mohammed A
authors.initials: MA
authors.lastname: Khan