HEADACHE, THROMBOLYTIC THERAPY, AND CHRONIC SUBDURAL HEMORRHAGE - A CASE-REPORT

Subdural hematomas are well known but infrequent complications of thro mbolytic therapy. Although these are usually associated with head trau ma, the authors describe a case of a patient who received a particular ly aggressive thrombolytic regimen and presented six months later with complaints of nothing more than a headache resistant to medical thera py, without associated neurologic manifestations, which was finally di agnosed as a chronic subdural hematoma by computerized tomography. In the era of thrombolysis, physicians should maintain a heightened index of suspicion for subdural hematoma in patients complaining of headach e.