Neurocritical Care

, Volume 2, Issue 1, pp 47–48 | Cite as

Forearm compartment syndrome following intravenous thrombolytic therapy for acute ischemic stroke

Practical Pearl

Abstract

Introduction: Minor and major bleeding complications have occurred following thrombolysis in acute ischemic stroke. However, compartment syndrome has not been reported among these incidences.

Methods and Results: This article presents a case of a forearm compartment syndrome in a patient with stroke who had fallen at the time of the infarction and was treated with tissue plasminogen activator. We wish to forewarn clinicians who may encounter similar cases.

Conclusion: Patients suffering from stroke who fall are at risk of developing a compartment syndrome; the early diagnosis is often difficult, the sequelae can be devastating, and wrestling with the benefits and risks of reversing the coagulopathy in the acute phase of a cerebral infarction is a challenge.

Key Words

Compartment syndromes cerebrovascular disorders brain infarction thrombolytic therapy tissue plasminogen activator 

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Copyright information

© Humana Press Inc 2005

Authors and Affiliations

  1. 1.Department of Physical Medicine and RehabilitationUniversity of SaskatchewanSaskatoonCanada
  2. 2.Department of NeurologyMayo ClinicScottsdale

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