Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report

Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report

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 proc...

Full description

Bibliographic Details
Main Authors: Nicholas Brian Shannon, Pradesh Kumar, Kiang Hiong Tay, Sia Yang Tan, Siew Ping Chng, Hsien Tsung Tay
Format: Article
Language:English
Published: SAGE Publishing 2020-02-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X20906741
id doaj-180bde2a35434a3ab8a39eaa96a67bf5
record_format Article
spelling doaj-180bde2a35434a3ab8a39eaa96a67bf52020-11-25T03:46:11ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2020-02-01810.1177/2050313X20906741Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case reportNicholas Brian Shannon0Pradesh Kumar1Kiang Hiong Tay2Sia Yang Tan3Siew Ping Chng4Hsien Tsung Tay5Department of Vascular and Endovascular Surgery, Singapore General Hospital, SingaporeDepartment of Vascular and Interventional Radiology, Singapore General Hospital, SingaporeDepartment of Vascular and Interventional Radiology, Singapore General Hospital, SingaporeDepartment of Vascular and Interventional Radiology, Singapore General Hospital, SingaporeDepartment of Vascular and Endovascular Surgery, Singapore General Hospital, SingaporeDepartment of Vascular and Endovascular Surgery, Singapore General Hospital, SingaporeA 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.https://doi.org/10.1177/2050313X20906741
collection DOAJ
language English
format Article
sources DOAJ
author Nicholas Brian Shannon
Pradesh Kumar
Kiang Hiong Tay
Sia Yang Tan
Siew Ping Chng
Hsien Tsung Tay
spellingShingle Nicholas Brian Shannon
Pradesh Kumar
Kiang Hiong Tay
Sia Yang Tan
Siew Ping Chng
Hsien Tsung Tay
Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report
SAGE Open Medical Case Reports
author_facet Nicholas Brian Shannon
Pradesh Kumar
Kiang Hiong Tay
Sia Yang Tan
Siew Ping Chng
Hsien Tsung Tay
author_sort Nicholas Brian Shannon
title Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report
title_short Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report
title_full Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report
title_fullStr Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report
title_full_unstemmed Spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: A case report
title_sort spontaneous spinal epidural haematoma following intra-arterial catheter-directed thrombolysis: a case report
publisher SAGE Publishing
series SAGE Open Medical Case Reports
issn 2050-313X
publishDate 2020-02-01
description 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.
url https://doi.org/10.1177/2050313X20906741
work_keys_str_mv AT nicholasbrianshannon spontaneousspinalepiduralhaematomafollowingintraarterialcatheterdirectedthrombolysisacasereport
AT pradeshkumar spontaneousspinalepiduralhaematomafollowingintraarterialcatheterdirectedthrombolysisacasereport
AT kianghiongtay spontaneousspinalepiduralhaematomafollowingintraarterialcatheterdirectedthrombolysisacasereport
AT siayangtan spontaneousspinalepiduralhaematomafollowingintraarterialcatheterdirectedthrombolysisacasereport
AT siewpingchng spontaneousspinalepiduralhaematomafollowingintraarterialcatheterdirectedthrombolysisacasereport
AT hsientsungtay spontaneousspinalepiduralhaematomafollowingintraarterialcatheterdirectedthrombolysisacasereport
_version_ 1724507377651154944

Similar Items