Intravenous thrombolysis for patients with acute cerebral infarction combined with intracranial aneurysms: a report of four cases and literature review

2017 
Objective To discuss the safety of intravenous thrombolysis in patients with acute cerebral infarction combined with intracranial aneurysms. Methods Four patients presented with acute cerebral infarction underwent intravenous thrombolysis 4.5 h after onset in our hospital from 2012 to 2015 were chosen in our study; Postoperative diffusion weighted imaging and CT angiography/magnetic resonance angiography conformed that these patients were combined with intracranial aneurysms of different lesions. There clinical data were retrospectively analyzed. Results The prognoses of all four patients were improved. No symptomatic intracerebral hemorrhage or subarachnoid hemorrhage was observed. Conclusion Intravenous thrombolysis may be safe for acute cerebral infarction with intracranial aneurysms. Key words: Cerebral infarction; Intracranial aneurysm; Intravenous thrombolysis
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