Delayed catastrophic intracerebral hemorrhage preceded by progressive recovery after carotid stenting for acute ischemic stroke.
BACKGROUND
Hemorrhagic transformation (HT) is a feared complication of reperfusion therapy for treatment of acute ischemic stroke. Generally, HT occurs within 24-36 hours after thrombolysis.


METHODS
We present a case of a fatal symptomatic HT of an infarction that occurred 7 days after acute ischemic stroke which was preceded by a remarkable recovery following a combination of acute revascularization therapies.


CONCLUSIONS
Fatal symptomatic HT is a rare potential complication that can occur after several days of treatment of acute ischemic stroke.
Division of Cerebrovascular Diseases, University of Iowa Hospitals and Clinics, Department of Neurology, Carver College of Medicine. jason.day@carondelet.com
Jason S
JS
Day
Harold P
HP
Adams
D000368:Aged; D017130:Angioplasty / Q000009:adverse effects* / Q000295:instrumentation*; D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D002388:Catastrophic Illness; D002533:Cerebral Angiography / Q000379:methods; D002543:Cerebral Hemorrhage / Q000209:etiology*; D038524:Diffusion Magnetic Resonance Imaging; D017809:Fatal Outcome; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects; D012307:Risk Factors; D015607:Stents; D020521:Stroke / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D010975:Platelet Aggregation Inhibitors