Technical note: Novel use of recombinant tissue plasminogen activator for the evacuation of an acute extensive spinal epidural haematoma in a patient with coagulopathy.
Br J Neurosurg
; 37(3): 495-498, 2023 Jun.
Article
em En
| MEDLINE
| ID: mdl-32460569
ABSTRACT
Spontaneous extensive spinal epidural haematoma poses a unique challenge for the neurosurgeon. Performing extensive laminectomies to remove all of the compressive haematoma can destabilise the patient's spinal column, which may require fixation. This is further complicated in patients with significant coagulopathy. We present a novel use of recombinant tissue plasminogen activator (rt-PA) in a patient with therapeutic coagulopathy, presenting with myelopathy secondary to an acute extensive spinal epidural haematoma. To the best of our knowledge, this is the first case of acute multilevel spinal epidural haematoma that has been successfully evacuated via single level laminectomy and topically applied rt-PA.
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Base de dados:
MEDLINE
Assunto principal:
Ativador de Plasminogênio Tecidual
/
Hematoma Epidural Espinal
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article