Fatal intracranial aneurysm rupture after thrombolytic treatment for ischemic stroke: a case report and literature review

被引:0
作者
Vladimír Beneš
Lubomír Jurák
Jaroslav Jedlička
Jan Dienelt
Petr Suchomel
机构
[1] Regional Hospital Liberec,Department of Neurosurgery
[2] Regional Hospital Liberec,Department of Neurology
来源
Acta Neurochirurgica | 2019年 / 161卷
关键词
Aneurysm; Stroke; Subarachnoid hemorrhage; Thrombolysis; Outcome;
D O I
暂无
中图分类号
学科分类号
摘要
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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页码:1337 / 1341
页数:4
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