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Hemorrhage is a possible complication of thrombolytic therapy for brain infarction that carries high morbidity and mortality.1 In fact, most exclusion criteria refer to situations prone to hemorrhage, such as low platelet count, coagulation abnormalities, a recent major surgery, or gastrointestinal bleeding. Unexpected and seemingly paradoxical is the occurrence of a thromboembolic phenomenon in the setting of thrombolytic therapy.
We report a patient who was subject to thrombolytic therapy for ischemic stroke with complete neurologic recovery but who presented a lower limb embolism during the administration of IV tissue plasminogen activator (tPA).
Case report.
A 73-year-old man was admitted to the cardiology department of our hospital for left heart failure and a suspicion of dilated myocardiopathy and was successfully treated with diuretics. Twelve hours after admission, he had acute left-sided hemiplegia with hemianesthesia, visual neglect, and anosognosia. The NIH Stroke …
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