Forearm compartment syndrome following intravenous thrombolytic therapy for acute ischemic stroke
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 WordsCompartment syndromes cerebrovascular disorders brain infarction thrombolytic therapy tissue plasminogen activator
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