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

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.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research