engleski

A near-hanging patient with PTSD and acute stroke - an unusual condition for "off label" thrombolysis

Sometimes psychiatric patients, especially those with PTSD, require urgent neurological treatment, as in the situations of acute stroke development. In some unusual conditions, stroke experts are faced with the consideration of “off label” thrombolysis against recommendations. Main doubts and dilemmas whether to apply it emerge in situations when a patient has suffered an acute head trauma and local hemorrhage that increases the risk of severe bleeding after thrombolytic treatment, with possible deterioration of neurological deficits and death. It is necessary to make a decision to perform an “off-label thrombolysis” individually for each patient, depending on his condition and comorbidity according to the existing protocols. We performed the procedure successfully.

PTSD ; stroke ; thrombolysis

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