Haemorrhagic transformation: a serious complication of massive ischemic stroke

Mohd Said, Mohd Ridzuan and Mohd Firdaus, Mohd Al-Baqlish (2021) Haemorrhagic transformation: a serious complication of massive ischemic stroke. Medical Journal of Malaysia, 76 (2). pp. 258-260. ISSN 0300-5283

	PDF - Published Version Restricted to Repository staff only Download (763kB) | Request a copy
Preview	PDF - Supplemental Material Download (128kB) | Preview

Abstract

lead to haemorrhagic transformation associated with few factors such as high National Institute of Health Stroke Scale (NIHSS), low Modified Rankin Score (MRS), cardio-embolic clot and others. We report herein a 61 years old man whom presented with1 left sided weakness and diagnosed with acute right middle cerebral artery (MCA) infarction. Thrombolytic therapy was not offered due to low Alberta Stroke Program Early CT (ASPECT) score and hence managed conservatively. However, within 24 hours, his Glasgow Coma Scale (GCS) reduced by 4 points and urgent Computed Tomography (CT) brain confirmed haemorrhagic transformation with midline shift. He underwent emergency surgical decompression and subsequently had prolonged hospital stay complicated by ventilated acquired pneumonia. He recovered after a course of antibiotic and discharged to a nursing home with MRS of 5.

Item Type:	Article (Case Report)
Subjects:	R Medicine > RC Internal medicine > RC66 Clinical cases
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Internal Medicine Kulliyyah of Medicine
Depositing User:	Dr Mohd Ridzuan Mohd Said
Date Deposited:	05 Nov 2024 14:56
Last Modified:	05 Nov 2024 14:56
URI:	http://irep.iium.edu.my/id/eprint/115528

Actions (login required)

View Item