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Streptokinase After Spinal Anaesthesia. A Case Report

Mohamed, Rozilah @ Abdul Hadi and Mat Nor, Mohd Basri and Osman, Ariff (2006) Streptokinase After Spinal Anaesthesia. A Case Report. International Medical Journal Malaysia, 5 (1). pp. 1-4. ISSN 1823-4631

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The use of thrombolytic agent e.g. streptokinase is indicated in patients with early acute ST elevation myocardial infarction (MI) (if there are no contraindications) is becoming increasingly routine. Its use is however significantly limited by bleeding complications. Spinal epidural haematoma (SEH) is haemorrhage in the spinal epidural space after spinal anaesthesia. SEH may be acute or chronic,spontaneous, posttraumatic, or iatrogenic but its occurrence appears to be particularly associated with acquired coagulopathy from medications and disease states. Patients usually present with acute axial spine pain and evolving focal neurological deficits. With increasing number of available anticoagulants and patient receiving them, anaesthesiologists today have to face the challenge ofbalancing between risks and benefits of regional anesthesia in patients under such medications. The treatment of this condition involves the principles of conservative follow-up directed by an improving examination and an understanding of thepathophysiology of coagulopathy-induced spontaneous epidural bleeds. When thediagnosis is accomplished rapidly, surgical decompression can result in full functional recovery.

Item Type: Article (Journal)
Additional Information: 3439/11286
Uncontrolled Keywords: Streptokinase; spinal anaesthe sia, spinal epidural haematoma.
Subjects: R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Anaesthesiology & Intensive Care
Depositing User: Dr. Mohd Basri Mat Nor
Date Deposited: 12 Apr 2013 15:52
Last Modified: 06 Apr 2017 16:37
URI: http://irep.iium.edu.my/id/eprint/11286

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