Open AccessSpontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report
Author(s) -
Nicholas B. Shan,
Prabhat Kumar,
Kiang Hiong Tay,
Sia Yang Tan,
Siew Ping Chng,
Hsien Ts’ung Tay
Publication year - 2020
Publication title -
sage open medical case reports
Language(s) - English
Resource type - Journals
ISSN - 2050-313X
DOI - 10.1177/2050313x20906741
Subject(s) - medicine , thrombolysis , paraplegia , surgery , catheter , anesthesia , ischemia , spinal cord , cardiology , myocardial infarction , psychiatry
A 79-year-old Chinese gentleman presented with unilateral acute lower limb ischaemia and received intra-arterial catheter-directed thrombolysis, initially with good result and reversal of the ischaemia. However, he developed an extensive spontaneous spinal epidural haematoma within hours of the procedure and was left with permanent paraplegia after being deemed unsuitable for decompressive spinal surgery. This report serves as a reminder of the risk of severe complications of catheter-directed thrombolysis by describing this rare but devastating side-effect that occurred even despite early detection from onset of symptoms.