Dissecting aneurysm of the anterior cerebral artery with severe subarachnoid hemorrhage during treatment for cerebral infarction.
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.
Yamada
Shoko M
SM
Department of Neurosurgery, Teikyo University School of Medicine, Mizonokuchi Hospital, Kawasaki.
Nakane
Makoto
M
Aoki
Makoto
M
Nakayama
Hitoshi
H
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
D005343:Fibrinolytic Agents; D008689:Methacrylates; D010975:Platelet Aggregation Inhibitors; C034364:ozagrel