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Fatal intracranial aneurysm rupture after thrombolytic treatment for ischemic stroke: a case report and literature review
V. Beneš, L. Jurák, J. Jedlička, J. Dienelt, P. Suchomel,
Language English Country Austria
Document type Case Reports, Journal Article, Review
NLK
ProQuest Central
from 1997-01-01
Medline Complete (EBSCOhost)
from 2000-01-01 to 1 year ago
Health & Medicine (ProQuest)
from 1997-01-01
Springer Nature OA/Free Journals
from 1950-02-01
- MeSH
- Stroke drug therapy MeSH
- Fatal Outcome MeSH
- Fibrinolytic Agents adverse effects therapeutic use MeSH
- Intracranial Aneurysm chemically induced MeSH
- Administration, Intravenous MeSH
- Brain Ischemia drug therapy MeSH
- Humans MeSH
- Aneurysm, Ruptured chemically induced MeSH
- Retrospective Studies MeSH
- Aged MeSH
- Tissue Plasminogen Activator adverse effects therapeutic use MeSH
- Thrombolytic Therapy adverse effects MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Aged MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- Review MeSH
Intravenous thrombolysis is a proven treatment of acute ischemic stroke. Its complications include intracranial hemorrhage; the risk may be increased in the presence of an unruptured aneurysm. We present a case report of a patient who suffered fatal subarachnoid hemorrhage after thrombolysis from a known aneurysm. A history of recent previously inexperienced headaches was revealed retrospectively, suggestive of sentinel bleedings. A similar patient was identified in the literature; we thus propose that this history should be excluded in patients harboring an aneurysm considered for thrombolytic treatment.
Department of Neurology Regional Hospital Liberec Husova 10 Liberec 460 01 Czech Republic
Department of Neurosurgery Regional Hospital Liberec Husova 10 460 01 Liberec Czech Republic
References provided by Crossref.org
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- $a Intravenous thrombolysis is a proven treatment of acute ischemic stroke. Its complications include intracranial hemorrhage; the risk may be increased in the presence of an unruptured aneurysm. We present a case report of a patient who suffered fatal subarachnoid hemorrhage after thrombolysis from a known aneurysm. A history of recent previously inexperienced headaches was revealed retrospectively, suggestive of sentinel bleedings. A similar patient was identified in the literature; we thus propose that this history should be excluded in patients harboring an aneurysm considered for thrombolytic treatment.
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