Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report

A 79-year-old Chinese gentleman presented with unilateral acute lower limb ischaemia and received intra-arterial catheter-directed thrombolysis, initially with good result and reversal of the ischaemia. However, he developed an extensive spontaneous spinal epidural haematoma within hours of the proc...

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Autores principales: Shannon, Nicholas Brian, Kumar, Pradesh, Tay, Kiang Hiong, Tan, Sia Yang, Chng, Siew Ping, Tay, Hsien Tsung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011325/
https://www.ncbi.nlm.nih.gov/pubmed/32095247
http://dx.doi.org/10.1177/2050313X20906741
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author Shannon, Nicholas Brian
Kumar, Pradesh
Tay, Kiang Hiong
Tan, Sia Yang
Chng, Siew Ping
Tay, Hsien Tsung
author_facet Shannon, Nicholas Brian
Kumar, Pradesh
Tay, Kiang Hiong
Tan, Sia Yang
Chng, Siew Ping
Tay, Hsien Tsung
author_sort Shannon, Nicholas Brian
collection PubMed
description A 79-year-old Chinese gentleman presented with unilateral acute lower limb ischaemia and received intra-arterial catheter-directed thrombolysis, initially with good result and reversal of the ischaemia. However, he developed an extensive spontaneous spinal epidural haematoma within hours of the procedure and was left with permanent paraplegia after being deemed unsuitable for decompressive spinal surgery. This report serves as a reminder of the risk of severe complications of catheter-directed thrombolysis by describing this rare but devastating side-effect that occurred even despite early detection from onset of symptoms.
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spelling pubmed-70113252020-02-24 Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report Shannon, Nicholas Brian Kumar, Pradesh Tay, Kiang Hiong Tan, Sia Yang Chng, Siew Ping Tay, Hsien Tsung SAGE Open Med Case Rep Case Report A 79-year-old Chinese gentleman presented with unilateral acute lower limb ischaemia and received intra-arterial catheter-directed thrombolysis, initially with good result and reversal of the ischaemia. However, he developed an extensive spontaneous spinal epidural haematoma within hours of the procedure and was left with permanent paraplegia after being deemed unsuitable for decompressive spinal surgery. This report serves as a reminder of the risk of severe complications of catheter-directed thrombolysis by describing this rare but devastating side-effect that occurred even despite early detection from onset of symptoms. SAGE Publications 2020-02-10 /pmc/articles/PMC7011325/ /pubmed/32095247 http://dx.doi.org/10.1177/2050313X20906741 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Shannon, Nicholas Brian
Kumar, Pradesh
Tay, Kiang Hiong
Tan, Sia Yang
Chng, Siew Ping
Tay, Hsien Tsung
Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report
title Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report
title_full Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report
title_fullStr Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report
title_full_unstemmed Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report
title_short Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report
title_sort spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011325/
https://www.ncbi.nlm.nih.gov/pubmed/32095247
http://dx.doi.org/10.1177/2050313X20906741
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