Korean Journal of Cerebrovascular Surgery  2008;10(3):473-476

Thromboembolism: Another substantial cause of delayed ischemic neurologic deficits after aneurysmal subarachnoid hemorrhage.

Dong Charn CHO 1 ; Jae Min KIM ; Hyun Jong HONG ; Jin Hwan CHEONG ; Koang Hum BAK ; Choong Hyun KIM

Affiliations

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Keywords

Neurologic deficits, ischemic; Vasospasm, hemodynamic; Subarachnoid hemorrhage; Thromboembolism

Country

Republic 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.