Hemorrhagic transformation of stroke secondary to spontaneous internal carotid artery dissection.
نویسندگان
چکیده
The clinical course of patients with hemorrhagic transformation in stroke secondary to spontaneous cervical internal carotid artery dissection (ICAD) has not been elucidated. We report a 36-year-old man with presentation of headache and subsequent left hemiparesis. Magnetic resonance imaging disclosed right ICAD with nearly complete occlusion of the right distal internal carotid artery and infarction over the right basal ganglion with hemorrhagic transformation in its central area. Hemorrhagic transformation can develop early in ICAD patients without preceding treatment with antithrombotic agents. Clinicians are urged to use antithrombotic agents with caution in patients with spontaneous ICAD with ischemic stroke because early hemorrhagic transformation may also be present. Possible pathomechanisms and treatment strategies are also discussed.
منابع مشابه
Circuitous embolic hemorrhagic stroke: carotid pseudoaneurysm to fetal posterior cerebral artery conduit: a case report
INTRODUCTION The cervical internal carotid artery (ICA) is susceptible to injury through various mechanisms, including dissection, which can lead to pseudoaneurysm formation. Pathological processes affecting the ICA, in association with an ipsilateral fetal posterior cerebral artery (PCA), resulting in parieto-occipital strokes are rarely reported. CASE PRESENTATION We present a patient with ...
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References 1. Tomsick DJ, Tomsick TA: CT demonstration of spontaneous internal carotid artery dissection. J Neurosurg 1985;63:792-793 2. Panisset M, Eidelman BH: Multiple cranial neuropathy as a feature of internal carotid artery dissection. Stroke 1990; 21:141-147 3. Lieschke GJ, Davis S, Tress BM, Ebeling P: Spontaneous internal carotid artery dissection presenting as hypoglossal nerve palsy....
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عنوان ژورنال:
- Journal of the Chinese Medical Association : JCMA
دوره 69 12 شماره
صفحات -
تاریخ انتشار 2006