Stroke remains a rare but catastrophic complication of thrombolysis. Intracranial hemorrhages are the primary neurological complication of thrombolytic therapy, but systemic embolisation shortly after thrombolytic therapy has also been reported, presumably caused by the dislodging of a pre-existing cardiac thrombus. In this report we have described a 59 year old male, case of acute Inferior and extensive Anterior wall STEMI developed slurring of speech with jargon with gait ataxia with swaying to the left and right hemiparesis, 6 Hours post thrombolysis with streptokinase and anti coagulation with low molecular heparin. These findings were suggestive of embolic infarctions in multiple vascular territories of left MCA, left PCA and right PICA.
WSN Streptokinase (STK), ST Elevated Myocardial Infraction (STEMI), Embolic Infarctions, tissue Plasminogen Activator (t-PA)
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