BACKGROUND: Management of @entity385 in the presence of @entity438 is controversial. Recent retrospective evidence suggests that in selected @entity1 , @entity5275 ( @entity5275 ) remains a safe approach for reperfusion. METHODS: We document a case of post-thrombolysis @entity1756 . Supported by additional scientific literature we postulate that acute aneurysmal @entity715 leading to @entity64 in the culprit artery may be an ominous sign of @entity397 and should be considered separately from fortuitously discovered distant @entity439 . RESULTS: A 71-year-old female presented with an acute right middle cerebral @entity64 . @entity5275 allowed vessel reperfusion and revealed a previously concealed, juxtaposed non-giant M1 segment saccular @entity439 . Secondary @entity1756 ensued. The @entity439 was secured by surgical clipping. Postoperative course was uneventful. CONCLUSIONS: This case shows that despite reports of thrombolysis safety in the presence of @entity438 , thrombolysis remains potentially hazardous and hints toward an increased risk when the @entity64 arises on the parent vessel itself.

Rupture of a Concealed @entity439 after Intravenous Thrombolysis of a XXXX in the Parent Middle Cerebral Artery.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke', 'artery stroke syndrome'] @entity5275 :: ('MESH:D015819', 'Disease') :: ['IVT', 'intravenous thrombolysis'] @entity1756 :: ('MESH:D017542', 'Disease') :: ['aneurysmal rupture'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysmal disease', 'aneurysm'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombosis'] @entity385 :: ('MESH:D002544', 'Disease') :: ['ischemic stroke'] @entity438 :: ('MESH:D002532', 'Disease') :: ['brain aneurysms', 'aneurysmal brain disease']
@entity715 :: (MESH:D013927,Disease) :: ['Thrombus']
