Acute stroke in a patient with advanced uraemia: should thrombolysis be given?

A 65-year-old gentleman with stage 5 chronic kidney disease developed an acute posterior circulation stroke, which was treated with intravenous thrombolytic therapy. This was complicated by a retroperitoneal haemorrhage. The patient made an excellent neurological recovery and was discharged to home,...

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Bibliographic Details
Published in:BMJ Case Reports 2013, Vol.2013
Main Authors: McCloskey, Marguerite, Masengu, Agnes, Shields, Joanne, Wiggam, M Ivan
Format: Report
Language:English
Online Access:Get full text
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Summary:A 65-year-old gentleman with stage 5 chronic kidney disease developed an acute posterior circulation stroke, which was treated with intravenous thrombolytic therapy. This was complicated by a retroperitoneal haemorrhage. The patient made an excellent neurological recovery and was discharged to home, independently mobile, having been established on haemodialysis. This case highlights the challenges of managing acute ischaemic stroke in patients with advanced uraemia.
ISSN:1757-790X
DOI:10.1136/bcr-2012-007307