Spontaneous Anterior Cerebral Artery Dissection Presenting with Simultaneous Subarachnoid Hemorrhage and Cerebral Infarction in a Patient with Multiple Extracranial Arterial Dissections.
10.3340/jkns.2013.53.2.115
- Author:
Yung Ki PARK
1
;
Hyeong Joong YI
;
Young Jun LEE
;
Young Seo KIM
Author Information
1. Department of Neurosurgery, Hanyang University Medical Center, Seoul, Korea. hjyi8499@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Dissecting aneurysm;
Subarachnoid hemorrhage;
Cerebral infarction;
Anterior cerebral artery;
Endovascular embolization
- MeSH:
Aneurysm;
Aneurysm, Dissecting;
Aneurysm, Ruptured;
Anterior Cerebral Artery;
Cerebral Infarction;
Constriction, Pathologic;
Hemorrhage;
Humans;
Infarction;
Stroke;
Subarachnoid Hemorrhage
- From:Journal of Korean Neurosurgical Society
2013;53(2):115-117
- CountryRepublic of Korea
- Language:English
-
Abstract:
Simultaneous subarachnoid hemorrhage and infarction is a quite rare presentation in a patient with a spontaneous dissecting aneurysm of the anterior cerebral artery. Identifying relevant radiographic features and serial angiographic surveillance as well as mode of clinical manifestation, either hemorrhage or infarction, could sufficiently determine appropriate treatment. Enlargement of ruptured aneurysm and progressing arterial stenosis around the aneurysm indicates impending risk of subsequent stroke. In this setting, prompt treatment with stent-assisted endovascular embolization can be a reliable alternative to direct surgery. When multiple arterial dissections are coexistent, management strategy often became complicated. However, satisfactory clinical results can be obtained by acknowledging responsible arterial site with careful radiographic inspection and antiplatelet medication.
