Subarachnoid hemorrhage-a rare complication after intravenous thrombolysis in an ischemic stroke patient

Chao Liang Chou, Ya Ju Lin, Helen L. Po, Cheng Kuei Chang

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Arterial dissection is an uncommon cause of ischemic stroke and a big challenge to diagnose before initiation of thrombolytic therapy within such a narrow therapeutic window. We present a 47-year-old woman who encountered a rare but lethal complication-subarachnoid hemorrhage-after intravenous thrombolytic therapy within an adequate time window. The stroke mechanism may have been spontaneous dissection of the intracranial internal carotid artery extending to the middle cerebral artery. We review the literature and believe that this is the first patient complicated with a subarachnoid hemorrhage after intravenous tissue plasminogen activator. How to prevent this complication is also discussed.

Original languageEnglish
JournalAmerican Journal of Emergency Medicine
Volume28
Issue number8
DOIs
Publication statusPublished - Oct 2010
Externally publishedYes

ASJC Scopus subject areas

  • Emergency Medicine
  • Medicine(all)

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