Orolingual Angioedema After Intravenous Tissue Plasminogen Activator in a Patient with Insular Cortex Ischemia: A Case Report
Journal Title: Turkish Journal of Neurology - Year 2020, Vol 26, Issue 4
Abstract
Intravenous tissue plasminogen activator (tPA) increases survival rates without sequelae in acute ischemic stroke. Complications and management of this treatment have become more important with the increasing use of tPA. An 80-year-old male patient was admitted with a sudden-onset speech disorder and loss of strength in his right arm, which started 3 hours ago. Magnetic resonance imaging revealed acute ischemia localized in the left insular cortex. Lip and tongue swelling, difficulty in speaking, and deepening in voice were observed in the 30th minute of infusion. There was mild respiratory distress. Orolingual angioedema was diagnosed. He completely recovered after treatment. Angioedema is a rare but potentially life-threatening complication of tPA. When this clinical symptom occurs, it should be recognized and treated quickly. This report aims to reveal the relationship of this rare complication with the localization of the ischemia.
Authors and Affiliations
Aydın Talip Yıldoğan, Fettah Eren, Şerefnur Öztürk
Keywords
Related Articles
- EP ID EP691599
- DOI 10.4274/tnd.2020.04864
- Views 141
- Downloads 0
Intracranial Hematoma After Spinal Anesthesia
Intracranial hemorrhage is a rare but life-threating complication of spinal anesthesia. Herein, we describe such a rare case that was diagnosed as parenchymal intracerebral hemorrhage after spinal anesthesia. We also aim...
Acquired Immune Deficiency Syndrome Showing Its First Symptom with Nervous System Involvement
Human immunodeficiency virus (HIV) infection is increasingly common today and the diversity of its clinical presentation makes the diagnosis difficult. The virus can cause neurologic involvement in the entire nervous sys...
A rare case in Turkey: Cocaine-induced multifocal leukoencephalopathy
Use of cocaine can cause neorologic disorders such as hemorrhagic and ischemic cerebrovascular disease, seizure, neuropsychiatric complications, movement disorders, cerebral vasculitis, reversible cerebral vasoconstricti...
Spasm of the Near Reflex: Clinical Appearance
no summary
Factors Associated with Prognosis in Patients with Guillain-Barré Syndrome
Objective: We aimed to evaluate the demographic, clinical, laboratory and electrophysiological findings of patients with inpatient Guillain-Barré syndrome in our clinics and to investigate the effect of these parameters...