Successful Thrombolysis despite Having an Incidental Unruptured Cerebral Aneurysm

• Autor(a) principal: Briosa e Gala, D
• Data de Publicação: 2014
• Outros Autores: Almeida, A, Monteiro, N, Paiva Nunes, A, Ferreira, P, Mendonça, N, Amaral-Silva, A
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.17/1986
• topic: HSM MED; HSJ UCV; Aneurysm; Thrombolytic Therapy

Purpose. To report a case of successful thrombolysis performed in a patient with an incidental unruptured intracranial aneurysm and review the literature. Case Report. Patient admitted for ischemic stroke due to left posterior cerebral artery occlusion, with an incidental right middle cerebral artery aneurysm, who underwent treatment with tissue plasminogen activator (rtPA) resulting in clinical improvement without complications. Conclusion. The presence of unruptured intracranial aneurysms is considered as a contraindication to thrombolysis, due to a potentially higher hemorrhagic risk of aneurysm rupture. Patients, otherwise, eligible for thrombolysis are usually excluded from receiving this emergent treatment, despite its potential benefits. A reevaluation of the strict exclusion criteria for thrombolysis in acute stroke patients should be considered.