Successful Thrombolysis despite Having an Incidental Unruptured Cerebral Aneurysm

Detalhes bibliográficos
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
Resumo: 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.
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spelling Successful Thrombolysis despite Having an Incidental Unruptured Cerebral AneurysmHSM MEDHSJ UCVAneurysmThrombolytic TherapyPurpose. 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.Hindawi Publishing CorporationRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEBriosa e Gala, DAlmeida, AMonteiro, NPaiva Nunes, AFerreira, PMendonça, NAmaral-Silva, A2015-01-14T12:40:44Z20142014-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/1986engCase Rep Neurol Med. 2014;2014:323049info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-10-28T10:26:57Zoai:repositorio.chlc.pt:10400.17/1986Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-10-28T10:26:57Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Successful Thrombolysis despite Having an Incidental Unruptured Cerebral Aneurysm
title Successful Thrombolysis despite Having an Incidental Unruptured Cerebral Aneurysm
spellingShingle Successful Thrombolysis despite Having an Incidental Unruptured Cerebral Aneurysm
Briosa e Gala, D
HSM MED
HSJ UCV
Aneurysm
Thrombolytic Therapy
title_short Successful Thrombolysis despite Having an Incidental Unruptured Cerebral Aneurysm
title_full Successful Thrombolysis despite Having an Incidental Unruptured Cerebral Aneurysm
title_fullStr Successful Thrombolysis despite Having an Incidental Unruptured Cerebral Aneurysm
title_full_unstemmed Successful Thrombolysis despite Having an Incidental Unruptured Cerebral Aneurysm
title_sort Successful Thrombolysis despite Having an Incidental Unruptured Cerebral Aneurysm
author Briosa e Gala, D
author_facet Briosa e Gala, D
Almeida, A
Monteiro, N
Paiva Nunes, A
Ferreira, P
Mendonça, N
Amaral-Silva, A
author_role author
author2 Almeida, A
Monteiro, N
Paiva Nunes, A
Ferreira, P
Mendonça, N
Amaral-Silva, A
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE
dc.contributor.author.fl_str_mv Briosa e Gala, D
Almeida, A
Monteiro, N
Paiva Nunes, A
Ferreira, P
Mendonça, N
Amaral-Silva, A
dc.subject.por.fl_str_mv HSM MED
HSJ UCV
Aneurysm
Thrombolytic Therapy
topic HSM MED
HSJ UCV
Aneurysm
Thrombolytic Therapy
description 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.
publishDate 2014
dc.date.none.fl_str_mv 2014
2014-01-01T00:00:00Z
2015-01-14T12:40:44Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.17/1986
url http://hdl.handle.net/10400.17/1986
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Case Rep Neurol Med. 2014;2014:323049
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Hindawi Publishing Corporation
publisher.none.fl_str_mv Hindawi Publishing Corporation
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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