Catastrophic Intracranial Hemorrhages after IV tPA in a Patient with Insidious Onset of Fever and Back Pain

We present a patient who had a history of recent and persistent fever, an acute ischemic stroke treated with intravenous tissue plasminogen activator (IV tPA), and severe, multifocal intracerebral hemorrhage as a complication of tPA treatment. Suspected infective endocarditis in a stroke patient should most likely be considered a contraindication to IV tPA.

Source: Journal of Stroke and Cerebrovascular Diseases - January 21, 2016 Category: Neurology Authors: Steven Tversky, Richard B. Libman, Evan R. Schloss, Rohan Arora, Anand V. Patel, Elliot J. Salamon, Paul Wright, Jeffrey M. Katz Tags: Case Studies Source Type: research