Repeated early thrombolysis in cervical spinal cord ischemia.

Abstract:

:Specific therapy of acute spinal ischemia is not established. We report the first case of an MRI-verified cervical spinal ischemia treated by thrombolysis and review the literature. A 72-year old woman with right-sided motor hemiparesis and trunk ataxia was treated by intravenous thrombolysis with full recovery. Three days later she developed again a severe right-sided sensorimotor hemiparesis and a second off-label intravenous thrombolysis was repeated. Magnetic resonance imaging revealed a right-sided posterior-lateral cervical spinal ischemia. Spinal ischemia may clinically present with a cerebral-stroke-like picture challenging diagnostic and therapeutic procedure. Systemic thrombolysis might be a treatment option in acute spinal ischemia. In addition, early repeated systemic thrombolysis may be considered in selected strokes.

journal_name

J Thromb Thrombolysis

authors

Etgen T,Höcherl C

doi

10.1007/s11239-015-1332-1

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

142-5

issue

1

eissn

0929-5305

issn

1573-742X

pii

10.1007/s11239-015-1332-1

journal_volume

42

pub_type

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