RESUMO
Thrombolytic therapy is the modality of choice for the treatment of life threatening thrombosis in various vascular territories and nowadays, is used extensively in setting of acute myocardial infarction. There is, however, the omnipresent danger of serious bleeding inherently associated with the use of all thrombolytics which if it occurs in the brain, can lead to potentially serious neurological impairment and even death. In our report, we describe the successful surgical management of a streptokinase-induced intracranial hemorrhage. Timely neurosurgical intervention is advocated as the optimal approach for this particular side effect of thrombolytic agents.
Assuntos
Hemorragia Cerebral/induzido quimicamente , Hemorragia Cerebral/cirurgia , Fibrinolíticos/efeitos adversos , Hematoma/induzido quimicamente , Hematoma/cirurgia , Infarto do Miocárdio/tratamento farmacológico , Estreptoquinase/efeitos adversos , Terapia Trombolítica/efeitos adversos , Adulto , Humanos , MasculinoRESUMO
Thrombolytic therapy is the modality of choice for the treatment of life threatening thrombosis in various vascular territories and nowadays, is used extensively in the setting of acute myocardial infarction. There is, however, the omnipresent danger of serious bleeding inherently associated with the use of all thrombolytics which if it occurs in the brain, can lead to potentially serious neurological impairment and even death. In our report, we describe the successful surgical management of a streptokinase-induced intracranial hemorrhage. Timely neurosurgical intervention is advocated as the optimal approach for this particular side effect of thrombolytic agents.