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

  • Case Report - Vascular Neurosurgery - Aneurysm
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Abstract

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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Authors and Affiliations

  1. Department of Neurosurgery, Regional Hospital Liberec, Husova 10, 460 01, Liberec, Czech Republic

    Vladimír Beneš 3rd, Lubomír Jurák, Jaroslav Jedlička & Petr Suchomel

  2. Department of Neurology, Regional Hospital Liberec, Husova 10, Liberec, 460 01, Czech Republic

    Jan Dienelt

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  1. Vladimír Beneš 3rd
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  3. Jaroslav Jedlička
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Vladimír Beneš 3rd and Lubomír Jurák contributed equally to this work and share first authorship

This article is part of the Topical Collection on Vascular Neurosurgery - Aneurysm

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Beneš, V., Jurák, L., Jedlička, J. et al. Fatal intracranial aneurysm rupture after thrombolytic treatment for ischemic stroke: a case report and literature review. Acta Neurochir 161, 1337–1341 (2019). https://doi.org/10.1007/s00701-019-03931-3

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  • DOI: https://doi.org/10.1007/s00701-019-03931-3

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