Posterior fossa extradural haematoma following thrombolysis therapy for acute myocardial infarction

ABSTRACT

Intracranial haemorrhage [ICH] is one of the dreaded complications following thrombolytic therapy for acute myocardial infarction [AMI].3,6,17,24,28,29 Haemorrhage can occur in varied locations but predominantly it is intraparenchymal.[8] Trauma is the commonest cause of extradural haematoma [EDH] but in rare instances it can occur spontaneously due to vascular malformation of dura[11,23], infections of air sinuses or middle ear[4,5,7,14], coagulopathies[10,13,18] or tumours.[16] Thrombolysis for AMI leading to EDH has not been reported until date to the best of our knowledge. We here report a patient who developed posterior fossa EDH after thrombolysis. Early CT scan and high degree of suspicion enabled the patient to have good outcome: