This report highlights successful cerebrospinal fluid lavage to treat tranexamic acid toxicity in a patient, suggesting an effective intervention for central nervous system issues.
Introduction Iatrogenic tranexamic acid central nervous system toxicity resulting from intrathecal injection is a rare event with a high case fatality rate. This technical report documents the success of downstream cerebrospinal fluid lavage in a patient presenting in status epilepticus following inadvertent intrathecal tranexamic acid injection.
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Dewar et al. (2025) studied this question.
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