@article{oai:shiga-med.repo.nii.ac.jp:00004076, author = {辻, 敬一 and 辻, 篤司 and 吉村, 弥生 and 小川, 暢弘 and 中澤, 拓也 and 野﨑, 和彦 and TSUJI, Keiichi and TSUJI, Atsushi and YOSHIMURA, Yayoi and OGAWA, Nobuhiro and NAKAZAWA, Takuya and NOZAKI, Kazuhiko}, issue = {4}, journal = {JNET: Journal of Neuroendovascular Therapy}, month = {Apr}, note = {pdf, 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., Journal Article}, pages = {240--245}, title = {Rupture of Anterior Communicating Artery Aneurysm after Intravenous Thrombolysis for Acute Ischemic Stroke : A Case Report}, volume = {15}, year = {2021} }