Spinal epidural haematoma following thrombolysis for acute ischaemic stroke in patient within 48h of emergency lumbar microdiscectomy

Br J Neurosurg. 2017 Oct;31(5):626-627. doi: 10.1080/02688697.2016.1220508. Epub 2016 Aug 23.

Abstract

The ideal regimen and the optimal starting point for thromboembolic prophylaxis in spinal procedures remain unclear. We report a case of postoperative spinal epidural haematoma following thrombolysis for stroke in patient within 48 h of emergency lumbar microdiscectomy. Thrombolysis should be considered in patients with spinal surgery who developed arterial cerebral thrombosis.

Keywords: Cauda equina syndrome; lumbar; spinal haemorrhage; stroke; thrombolysis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain Ischemia / complications*
  • Brain Ischemia / therapy*
  • Diskectomy / adverse effects*
  • Emergency Medical Services
  • Female
  • Hematoma, Epidural, Spinal / etiology*
  • Humans
  • Intracranial Thrombosis / complications
  • Intracranial Thrombosis / etiology
  • Intracranial Thrombosis / therapy
  • Lumbar Vertebrae / surgery
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / therapy*
  • Stroke / complications*
  • Stroke / therapy*
  • Thrombolytic Therapy / adverse effects*
  • Thrombolytic Therapy / methods*
  • Treatment Outcome