Spinal epidural haematoma following thrombolysis for acute ischaemic stroke in patient within 48h of emergency lumbar microdiscectomy

Abstract

The ideal regimen and the optimal starting point for thromboembolic prophylaxis in spinal procedures remain unclear. We report a case of postoperative spinal epidural haematoma following thrombolysis for stroke in patient within 48 h of emergency lumbar microdiscectomy. Thrombolysis should be considered in patients with spinal surgery who developed arterial cerebral thrombosis.

Keywords:

• Cauda equina syndrome
• lumbar
• stroke
• thrombolysis
• spinal haemorrhage

Disclosure statement

The authors report no conflicts of interest

Funding

This work was supported in part by the Hurstwood Park Neurosciences Centre, Brighton and Sussex University Hospitals, UK.

Evidence search: Sharon Springham (21 November 2014), Brighton and Sussex Library and Knowledge Service.