Retropharyngeal hematoma mimicking angioedema after intravenous thrombolysis for acute ischemic stroke

被引：1
|
作者：
Jolley, Allison [1 ,2 ]
McKnight, Madison [1 ]
Clark, Kacie [1 ,2 ]
机构：
[1] Methodist Univ Hosp, Dept Pharm, 1265 Union Ave, Memphis, TN 38104 USA
[2] Univ Tennessee Hlth Sci, Dept Clin Pharm & Translat Sci, Coll Pharm, 881 Madison Ave, Memphis, TN 38163 USA
来源：
AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2023年 / 67卷
关键词：
Retropharyngeal hematoma; Tissue plasminogen activator; tPA; Acute ischemic stroke; TISSUE-PLASMINOGEN ACTIVATOR; HEALTH-CARE PROFESSIONALS; OROLINGUAL ANGIOEDEMA; EARLY MANAGEMENT; 2018; GUIDELINES;
D O I：
10.1016/j.ajem.2023.03.016
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Tissue plasminogen activator (tPA) is a cornerstone treatment for acute ischemic stroke (AIS). Administration of tPA is not without risk, and can provoke life threatening adverse reactions. Retropharyngeal hematoma (RPH) following tPA administration has only been reported after tenecteplase (TNK) administration for ST elevation myocardial infarction (STEMI). A 78 year old patient received tPA for AIS. Following administration of tPA, this patient developed acute signs and symptoms of what appeared to be a more well-known adverse reaction of tPA administration - angioedema. After CT and laboratory findings, our patient received cryoprecipitate for tPA reversal. Our case highlights a unique case of RPH mimicking angioedema following tPA administration.(c) 2023 Elsevier Inc. All rights reserved.
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收藏
页码：196.e1 / 196.e2
页数：2
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