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大学・研究所にある論文を検索できる 「Rupture of Anterior Communicating Artery Aneurysm after Intravenous Thrombolysis for Acute Ischemic Stroke : A Case Report」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

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Rupture of Anterior Communicating Artery Aneurysm after Intravenous Thrombolysis for Acute Ischemic Stroke : A Case Report

TSUJI Keiichi 80838045 TSUJI Atsushi YOSHIMURA Yayoi OGAWA Nobuhiro NAKAZAWA Takuya NOZAKI Kazuhiko 90252452 0000-0003-1623-068X 滋賀医科大学

2021.04

概要

Objective:
Rupture of intracranial aneurysms after tissue plasminogen activator (t-PA) administration for acute ischemic stroke with an unruptured cerebral aneurysm is rare. We report a case of ruptured cerebral aneurysm after t-PA administration.
Case Presentation:
A 74-year-old woman with dysarthria and left hemiparesis was admitted to our hospital, and acute lacunar infarction was found in the right corona radiata. One hour after t-PA administration, she complained of sudden headache and nausea, and her consciousness level deteriorated. Subarachnoid hemorrhage due to rupture of the anterior communicating aneurysm was confirmed and coil embolization was performed.
Conclusion:
T-PA administration for acute ischemic stroke with an unruptured cerebral aneurysm risks rupture of the cerebral aneurysm, and careful judgment is needed in each case.

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Journal of Neuroendovascular Therapy Vol. 15, No. 4 (2021)

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