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 132
- Downloads 0
Comparative Analysis of Cognitive Profiles of Huntington’s and Parkinson’s Diseases
Objective: In this study, our aim is to define the cognitive profile specific to Huntington’s disease (HD) in comparison to Parkinson’s disease (PD) without any accompanying cognitive involvement and to search for its re...
Stroke Incidence and Demographic Properties of Patients in Ardahan Province
Objective: This study aimed to evaluate the demographic, etiologic, and clinical characteristics of patients with the diagnosis of stroke, as well as the incidence of stroke in Ardahan province, which is the gateway from...
The Differential Diagnosis of “Tigroid Pattern” on Brain Magnetic Resonance Imaging: A Case Report
Abstract(s)*
Family History of Headache and Epistaxis Associated with Ischemic Stroke
A 34-year-old woman presented to the emergency room with symptoms of transient right arm weakness, hemoptysis, headache, and seeing stars. She revealed a long history of epistaxis. Despite receiving electro-coagulation t...
Diagnosis and Treatment in Vestibular Migraine
Vestibular migraine (VM) is the most common cause of recurrent spontaneous vertigo. Inclusion of the diagnostic criteria for VM in the last edition of the International Classification of Headache Disorders published in 2...