Acute stroke in a patient with advanced uraemia: should thrombolysis be given?
A 65-year-old gentleman with stage 5 chronic kidney disease developed an acute posterior circulation stroke, which was treated with intravenous thrombolytic therapy. This was complicated by a retroperitoneal haemorrhage. The patient made an excellent neurological recovery and was discharged to home, independently mobile, having been established on haemodialysis. This case highlights the challenges of managing acute ischaemic stroke in patients with advanced uraemia.
Belfast City Hospital, Belfast, UK. m1217200@doctors.org.uk
Marguerite
M
McCloskey
Agnes
A
Masengu
Joanne
J
Shields
M Ivan
MI
Wiggam
D000368:Aged; D005343:Fibrinolytic Agents / Q000009:adverse effects / Q000627:therapeutic use*; D006470:Hemorrhage / Q000139:chemically induced* / Q000628:therapy; D006801:Humans; D008297:Male; D012187:Retroperitoneal Space; D020521:Stroke / Q000150:complications* / Q000188:drug therapy*; D014511:Uremia / Q000150:complications*
D005343:Fibrinolytic Agents