Journal of Cerebrovascular and Endovascular Neurosurgery  2016;18(3):271-275

doi:10.7461/jcen.2016.18.3.271

Evaluation and Treatment of the Acute Cerebral Infarction with Convexal Subarachnoid Hemorrhage.

Min Hyung LEE 1 ; Sang Uk KIM ; Dong Hoon LEE ; Young Il KIM ; Chul Bum CHO ; Seung Ho YANG ; Il Sup KIM ; Jae Taek HONG ; Jae Hoon SUNG ; Sang Won LEE

Affiliations

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Keywords

Convexal subarachnoid hemorrhage; Ischemic stroke; Antiplatelet drug; Computed tomographic angiography

Country

Republic of Korea

Language

English

Abstract

Non-traumatic convexal subarachnoid hemorrhage (CSAH) is a comparatively infrequent with various vascular and nonvascular causes, it rarely occurs concomitant to acute ischemic stroke. We report a case of a 59-year-old woman, visited emergency room with right side subjective weakness spontaneously. Magnetic resonance diffusion-weighted images revealed an acute infarction of anterior cerebral arterial territory. Computed tomographic angiography showed a left frontal CSAH without any vascular lesions. And other laboratory studies were non-specific. We treated with dual antiplatelet drugs (cilostazole [Otsuka Pharmaceutical Co., Ltd. tokyo, Japan] and Aspirin [Bayer Pharma AG., Leverkusen, Germany]). She has done well for a follow-up period. (5 months) This case demonstrates the CSAH with acute infarction is rare but need to work up to identify the etiology and antiplatelet dugs are taken into account for treatments.