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Spontaneous Anterior Cerebral Artery Dissection Presenting with Simultaneous Subarachnoid Hemorrhage and Cerebral Infarction in a Patient with Multiple Extracranial Arterial Dissections
Journal of Korean Neurosurgical Society ; : 115-117, 2013.
Article Dans Anglais | WPRIM | ID: wpr-219543
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.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Hémorragie meningée / Infarctus cérébral / Rupture d'anévrysme / Sténose pathologique / Artère cérébrale antérieure / Accident vasculaire cérébral / Hémorragie / Infarctus / Anévrysme / Limites du sujet: Humains langue: Anglais Texte intégral: Journal of Korean Neurosurgical Society Année: 2013 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Hémorragie meningée / Infarctus cérébral / Rupture d'anévrysme / Sténose pathologique / Artère cérébrale antérieure / Accident vasculaire cérébral / Hémorragie / Infarctus / Anévrysme / Limites du sujet: Humains langue: Anglais Texte intégral: Journal of Korean Neurosurgical Society Année: 2013 Type: Article