Thromboembolism: Another substantial cause of delayed ischemic neurologic deficits after aneurysmal subarachnoid hemorrhage.
- Author:
Dong Charn CHO
1
;
Jae Min KIM
;
Hyun Jong HONG
;
Jin Hwan CHEONG
;
Koang Hum BAK
;
Choong Hyun KIM
Author Information
1. Department of Neurosurgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea. kjm2323@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Neurologic deficits, ischemic;
Vasospasm, hemodynamic;
Subarachnoid hemorrhage;
Thromboembolism
- MeSH:
Aneurysm;
Brain Ischemia;
Hemodynamics;
Infarction;
Neurologic Manifestations;
Subarachnoid Hemorrhage;
Thromboembolism
- From:Korean Journal of Cerebrovascular Surgery
2008;10(3):473-476
- CountryRepublic of Korea
- Language:English
-
Abstract:
Vasospasm has been known as one of the most potent causes of delayed ischemic neurologic deficits (DINDs) after aneurysmal subarachnoid hemorrhage (SAH). An established effective therapy for vasospasm has been used in preventing cerebral ischemia. Nevertheless, several reports suggested the possibility that there may be other causes of DINDs from the cases which couldn't be explained by hemodynamic vasospasm. Authors experienced two cases of thromboembolic infarction as a cause of DINDs after aneurysmal SAH. We propose that thromboembolism can be a considerable cause of DINDs independent of hemodynamic vasospasm.