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Updated: Apr 19, 2026

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
Haemorrhagic stroke after thrombolysis with streptokinase
J Arzu1, M A Muqueet, S A Sweety
1Dr Jahanara Arzu, Assistant Professor, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
Abstract:
A 54 years old male presented with central chest pain for five hours in a local hospital, Comilla. He was diagnosed as a case of acute STEMI (Extensive Anterior) and was thrombolized with Streptokinase 1.5 million IU. His pain was relieved, ST segment was depressed by >50% after thrombolysis. While in hospital, he developed weakness of his left limbs with gradually deteriorating level of consciousness. A CT scan of brain showed haemorrhage in the right frontoparietal region. This is a rare case of haemorrhagic stroke after thrombolysis with streptokinase.
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