Streptokinase After Spinal Anaesthesia. A Case Report

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)...

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Main Authors:	Mohamed, Rozilah @ Abdul Hadi, Mat Nor, Mohd Basri, Osman, Ariff
Format:	Article
Language:	English
Published:	International Islamic University Malaysia 2006
Subjects:	R Medicine (General)
Online Access:	http://irep.iium.edu.my/11286/ http://irep.iium.edu.my/11286/1/streptokinase_after_spinal_anaesthesia.pdf

id	iium-11286
recordtype	eprints
spelling	iium-112862017-04-06T08:37:29Z http://irep.iium.edu.my/11286/ Streptokinase After Spinal Anaesthesia. A Case Report Mohamed, Rozilah @ Abdul Hadi Mat Nor, Mohd Basri Osman, Ariff R Medicine (General) 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. International Islamic University Malaysia 2006-06 Article PeerReviewed application/pdf en http://irep.iium.edu.my/11286/1/streptokinase_after_spinal_anaesthesia.pdf 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
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Mohamed, Rozilah @ Abdul Hadi Mat Nor, Mohd Basri Osman, Ariff Streptokinase After Spinal Anaesthesia. A Case Report
description	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.
format	Article
author	Mohamed, Rozilah @ Abdul Hadi Mat Nor, Mohd Basri Osman, Ariff
author_facet	Mohamed, Rozilah @ Abdul Hadi Mat Nor, Mohd Basri Osman, Ariff
author_sort	Mohamed, Rozilah @ Abdul Hadi
title	Streptokinase After Spinal Anaesthesia. A Case Report
title_short	Streptokinase After Spinal Anaesthesia. A Case Report
title_full	Streptokinase After Spinal Anaesthesia. A Case Report
title_fullStr	Streptokinase After Spinal Anaesthesia. A Case Report
title_full_unstemmed	Streptokinase After Spinal Anaesthesia. A Case Report
title_sort	streptokinase after spinal anaesthesia. a case report
publisher	International Islamic University Malaysia
publishDate	2006
url	http://irep.iium.edu.my/11286/ http://irep.iium.edu.my/11286/1/streptokinase_after_spinal_anaesthesia.pdf
first_indexed	2023-09-18T20:20:37Z
last_indexed	2023-09-18T20:20:37Z
_version_	1777408082011226112

Streptokinase After Spinal Anaesthesia. A Case Report

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