Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/1986
Título: Successful Thrombolysis despite Having an Incidental Unruptured Cerebral Aneurysm
Autor: Briosa e Gala, D
Almeida, A
Monteiro, N
Paiva Nunes, A
Ferreira, P
Mendonça, N
Amaral-Silva, A
Palavras-chave: HSM MED
HSJ UCV
Aneurysm
Thrombolytic Therapy
Data: 2014
Editora: Hindawi Publishing Corporation
Citação: Case Rep Neurol Med. 2014;2014:323049
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.
Peer review: yes
URI: http://hdl.handle.net/10400.17/1986
Aparece nas colecções:MED - Artigos
UCV - Artigos

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Case Rep Neurol Med 2014.pdf702,21 kBAdobe PDFVer/Abrir


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