What Does My CT Scan Test Result Indicate?

Posted on Thu, 28 Jul 2016

Question: Patient presented with acute Ischaemic Stroke, thrombolysis was persieved with tencteplase. He reported headache subsequently. CT Scan of Brain was done, revealed Intracerebral Haemorrhage. Fibrinogen levels were checked and no significant depletion of Fibrinogen was noted. However, FFP were still transfused. Patient developed tachypnoea. Hyperglycaemia was detected.
Kindly opine, whether the IC Bleed is due to the administration of TNKTPA or due to any other reason.

Answered by Dr. Sudhir Kumar (2 hours later)

Brief Answer:
IC bleed is most likley due to thrombolytic agent.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted the case details, and in my opinion, the IC bleed is most likely related to the administration of thrombolytic agent. This complication is seen in about 5-6% of patients after thrombolysis, even if all the inclusion and exclusion criteria for thrombolysis are strictly followed.

I sincerely hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.

Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar