title: Dissecting aneurysm of the anterior cerebral artery with severe subarachnoid hemorrhage during treatment for cerebral infarction.
abstract: Intracranial dissecting aneurysms cause ischemia, but anticoagulation or antiplatelet agents are administered to most ischemic patients without angiographical investigation. A 55-year-old woman succumbed to a subarachnoid hemorrhage (SAH) during antiplatelet therapy for ischemia caused by a dissecting aneurysm at the anterior cerebral artery, which was identified by conventional angiography on day 11 after admission. The authors emphasize that all dissecting aneurysms manifesting ischemic attack can cause hemorrhage. Therefore, emergency angiography is recommended for patients with ischemia complaining of a headache. If dissection is identified, it may be better to regulate the blood pressure of the patient strictly without anticoagulation or antiplatelet therapy.
authors.affiliation: Department of Neurosurgery, Teikyo University School of Medicine, Mizonokuchi Hospital, Kawasaki.
authors.forename: Shoko M
authors.initials: SM
authors.lastname: Yamada
authors.forename: Makoto
authors.initials: M
authors.lastname: Nakane
authors.forename: Makoto
authors.initials: M
authors.lastname: Aoki
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Nakayama
mesh_terms: D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000188:drug therapy* / Q000209:etiology; D017809:Fatal Outcome; D005260:Female; D005343:Fibrinolytic Agents / Q000009:adverse effects*; D006801:Humans; D002532:Intracranial Aneurysm; D008689:Methacrylates / Q000009:adverse effects*; D008875:Middle Aged; D019635:Neurosurgical Procedures; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects*; D013345:Subarachnoid Hemorrhage / Q000139:chemically induced* / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D005343:Fibrinolytic Agents; D008689:Methacrylates; D010975:Platelet Aggregation Inhibitors; C034364:ozagrel