Successful thrombolysis of an ischemic stroke immediately following transurethral resection of prostate in an elderly male
The overall incidence of stroke in the perioperative period following noncardiac, nonneurologic, and noncarotid surgery has been reported to be between 0.1% and 0.8%. Thrombolysis in the postoperative stroke is controversial, with a possible high risk of surgical site hemorrhage (SSH) and intracereb...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of the Indian Academy of Geriatrics |
| Subjects: | |
| Online Access: | http://www.jiag.in//article.asp?issn=0974-3405;year=2023;volume=19;issue=4;spage=276;epage=278;aulast=Rathinasabapathi |
| _version_ | 1797222471940702208 |
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| author | Muneeshwaran Rathinasabapathi Ashutosh Tiwari Mritunjai Kumar Niraj Kumar |
| author_facet | Muneeshwaran Rathinasabapathi Ashutosh Tiwari Mritunjai Kumar Niraj Kumar |
| author_sort | Muneeshwaran Rathinasabapathi |
| collection | DOAJ |
| description | The overall incidence of stroke in the perioperative period following noncardiac, nonneurologic, and noncarotid surgery has been reported to be between 0.1% and 0.8%. Thrombolysis in the postoperative stroke is controversial, with a possible high risk of surgical site hemorrhage (SSH) and intracerebral hemorrhage. We report a case of an old male who developed an ischemic stroke on postoperative day 0 of transurethral resection of prostate. He was thrombolysed with tenecteplase but developed minor SSH as well as cerebral hemorrhagic transformation (HI2). Both complications were managed with appropriate measures. The patient recovered completely (NIHSS 0) and was discharged 1 week later. To the best of our knowledge, this is the first report of a successful thrombolysis in a patient developing acute ischemic stroke following a major urologic surgery on the day of surgery. |
| first_indexed | 2024-04-24T13:21:52Z |
| format | Article |
| id | doaj.art-c6febada07f74ee8b56038b6f8f95c3f |
| institution | Directory Open Access Journal |
| issn | 0974-3405 0974-2484 |
| language | English |
| last_indexed | 2024-04-24T13:21:52Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Indian Academy of Geriatrics |
| spelling | doaj.art-c6febada07f74ee8b56038b6f8f95c3f2024-04-04T14:36:11ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Geriatrics0974-34050974-24842023-01-0119427627810.4103/jiag.jiag_55_23Successful thrombolysis of an ischemic stroke immediately following transurethral resection of prostate in an elderly maleMuneeshwaran RathinasabapathiAshutosh TiwariMritunjai KumarNiraj KumarThe overall incidence of stroke in the perioperative period following noncardiac, nonneurologic, and noncarotid surgery has been reported to be between 0.1% and 0.8%. Thrombolysis in the postoperative stroke is controversial, with a possible high risk of surgical site hemorrhage (SSH) and intracerebral hemorrhage. We report a case of an old male who developed an ischemic stroke on postoperative day 0 of transurethral resection of prostate. He was thrombolysed with tenecteplase but developed minor SSH as well as cerebral hemorrhagic transformation (HI2). Both complications were managed with appropriate measures. The patient recovered completely (NIHSS 0) and was discharged 1 week later. To the best of our knowledge, this is the first report of a successful thrombolysis in a patient developing acute ischemic stroke following a major urologic surgery on the day of surgery.http://www.jiag.in//article.asp?issn=0974-3405;year=2023;volume=19;issue=4;spage=276;epage=278;aulast=Rathinasabapathipostoperative strokesurgical site hemorrhagethrombolysistransurethral resection of prostate |
| spellingShingle | Muneeshwaran Rathinasabapathi Ashutosh Tiwari Mritunjai Kumar Niraj Kumar Successful thrombolysis of an ischemic stroke immediately following transurethral resection of prostate in an elderly male Journal of the Indian Academy of Geriatrics postoperative stroke surgical site hemorrhage thrombolysis transurethral resection of prostate |
| title | Successful thrombolysis of an ischemic stroke immediately following transurethral resection of prostate in an elderly male |
| title_full | Successful thrombolysis of an ischemic stroke immediately following transurethral resection of prostate in an elderly male |
| title_fullStr | Successful thrombolysis of an ischemic stroke immediately following transurethral resection of prostate in an elderly male |
| title_full_unstemmed | Successful thrombolysis of an ischemic stroke immediately following transurethral resection of prostate in an elderly male |
| title_short | Successful thrombolysis of an ischemic stroke immediately following transurethral resection of prostate in an elderly male |
| title_sort | successful thrombolysis of an ischemic stroke immediately following transurethral resection of prostate in an elderly male |
| topic | postoperative stroke surgical site hemorrhage thrombolysis transurethral resection of prostate |
| url | http://www.jiag.in//article.asp?issn=0974-3405;year=2023;volume=19;issue=4;spage=276;epage=278;aulast=Rathinasabapathi |
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