JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY

Periorbital Hemorrhage Secondary to tPA For Stroke Following Oculoplastic Surgery


Authored by Sarah Jacobs

Tissue plasminogen activator (tPA) is a proven treatment for ischemic strokes when administered within 3-4.5 hours of symptoms. Relative contraindications include minor or spontaneously-improving stroke, seizure at onset, recent gastrointestinal and urinary tract hemorrhage, pregnancy, recent major surgery or serious trauma [1]. As these are relative contraindications, ultimately the provider makes the decision to administer tPA based on analysis of risks and benefits. This is a case of a periorbital hemorrhage in a patient receiving tPA for ischemic stroke within 2 days of oculoplastic surgery.

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