SUMMARY -Myasthenia gravis is associated in 10 to 15 percent of patients with thymic tumors, rarely with aplastic anemia. We report a 45-year-old male diagnosed with myasthenia gravis associated with thymoma. We started treatment with pyridostigmine. After thymectomy, the patient received 30 irradiation sessions. In the postoperative course, he had mild worsening of myasthenia gravis, which improved with prednisone. Five months later, he developed severe aplastic anemia. He was dependent on blood supplement. After allogeneic transplantation of bone marrow, he improved but later he developed graft versus host disease. Myasthenia gravis was under good control with 480 mg of pyridostigmine per day.

The rupture of aneurysm and subarachnoidal hemorrhage (SAH) is complex intracranial condition. Often accompanied with dramatic clinical presentation, necessity for emergency diagnostic treatment and various complications. To make sure that proper diagnostic approach is provided for this patients