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We report our experience with two patients who presented with signs and symptoms of ischemic stroke resulting from cerebral vasospasm that followed unrecognized rupture of a brain aneurysm.In one case,it was the recent complaint of significant headache and a prior history of SAH that led to the correct diagnosis.In the other case,a major rebleed occurred before the accurate diagnosis was recognized.It is critical to make the correct diagnosis of stroke due to vasospasm so that appropriate treatment can be instituted,thrombolytic and anticoagulant therapy can be avoided, and the unsecured aneurysm can be obliterated to prevent potentially catastrophic rebleeding. |
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aneurysm
aneurysm,intracranial
aneurysm,intracranial,delayed cerebral ischemia with
cerebral ischemia
cerebrovascular accident,delayed onset
cerebrovascular accident,misdiagnosis
cerebrovascular accident,young adult
headache
misdiagnosis
subarachnoid hemorrhage
vasospasm,cerebral
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