ArticleCureus2025
Intravenous Thrombolysis for Acute Ischemic Stroke Following Cervical Epidural Injection: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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3 authors.
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Abstract
A recent lumbar puncture (LP) is a relative contraindication for intravenous thrombolysis (IVT) due to the potential for the development of spinal hematoma. While there have been case reports of IVT administered without complications following LP or epidural anesthesia, there is limited data overall regarding the safety of IVT for acute ischemic stroke (AIS) in patients who have undergone a neuraxial procedure. We present a case report of an 83-year-old man who presented with a sudden onset of symptoms consistent with left middle cerebral artery (MCA) stroke after receiving a cervical epidural injection (CEI) earlier that same day. The patient received IVT after a comprehensive examination, including brain imaging that showed no intracranial hemorrhage and confirmed a large vessel occlusion (LVO), and a thorough assessment of the risks and benefits. There were no reported complications post treatment, and the patient showed improvement in symptoms on follow-up visits. This case report highlights the safe and successful administration of IVT for AIS following a recent CEI.
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