Clinical and neuroimaging features of spontaneous convexal subarachnoid hemorrhage complicated with acute cerebral infarction
10.3760/cma.j.cn115354-20220310-00131
- VernacularTitle:急性脑梗死合并自发性凸面蛛网膜下腔出血的临床及影像学特点分析
- Author:
Mingwan XIA
1
;
Jibao WU
;
Xiaoxi YAO
;
Jiping YI
;
Haipeng LI
;
Jiangtao LONG
;
Ming ZHOU
Author Information
1. 郴州市第一人民医院，湘南学院第一附属医院神经内科，郴州 423000
- Keywords:
Spontaneous convexal subarachnoid hemorrhage;
Magnetic resonance imaging;
Acute cerebral infarction;
Retrospective study
- From:
Chinese Journal of Neuromedicine
2022;21(7):677-683
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical and imaging features of spontaneous convexal subarachnoid hemorrhage (cSAH) with acute cerebral infarction.Methods:Nine patients with cSAH complicated with acute cerebral infarction, admitted to our hospital from January 2018 to October 2021, were selected. The clinical data and efficacy of these patients were retrospectively analyzed.Results:The time from cSAH to the onset of acute cerebral infarction was 5-144 h, with median time of 2 d. The most common bleeding site of cSAH was the parietal lobe ( n=6); cSAH in the ipsilateral side of acute cerebral infarction was noted in 4 patients. Six patients had middle cerebral artery stenosis or occlusion, and 2 patients had anterior cerebral artery stenosis or occlusion. Hypertension ( n=7) was the most common primary disease; 7 patients were treated with antiplatelet drugs, anticoagulants and/or stents. The follow-up at 3 months after cSAH showed that 6 patients had good prognosis and one had poor prognosis. Conclusions:The cSAH often occurs 2 d after acute cerebral infarction; intracranial artery stenosis or occlusion may be the main cause of the disease. In patients complicated with cSAH, active antiplatelet, anticoagulation and/or stent therapy do not increase the risk of bleeding, and the prognosis is good.
