Two Cases of Subarachnoid Hemorrhage from Spontaneous Anterior Cerebral Artery Dissection : A Case of Simultaneous Hemorrhage and Ischemia Without Aneurysmal Formation and Another Case of Hemorrhage with Aneurysmal Formation
Journal of Cerebrovascular and Endovascular Neurosurgery 2014³â 16±Ç 2È£ p.119 ~ p.124
ÀÓż·(Im Tae-Seop) - Daegu Fatima Hospital Department of Neurosurgery
ÀÌÀ±¼ö(Lee Yoon-Soo) - Daegu Fatima Hospital Department of Neurosurgery
¼»óÁØ(Suh Sang-Jun) - Daegu Fatima Hospital Department of Neurosurgery
ÀÌÁ¤È£(Lee Jeong-Ho) - Daegu Fatima Hospital Department of Neurosurgery
·ù±â¿µ(Ryu Kee-Young) - Daegu Fatima Hospital Department of Neurosurgery
°µ¿±â(Kang Dong-Gee) - Daegu Fatima Hospital Department of Neurosurgery
Abstract
Spontaneous anterior cerebral artery (ACA) dissection, although extremely rare, is often associated with severe morbidity and mortality. It could lead to cerebral hemorrhage, ischemic stroke, or, rarely, combination of hemorrhage and ischemia due to hemodynamic changes. Prompt and accurate diagnosis is essential for determining the appropriate management. However, the optimal treatment for ACA dissection remains controversial. Herein, we report on two rare cases of subarachnoid hemorrhage (SAH) caused by ACA dissection; a case presenting with simultaneous SAH and infarction without aneurysmal formation and another case presenting with SAH with fusiform aneurysmal formation. A review of the related literature is provided, and optimal treatments for each type of dissection are suggested.
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Anterior cerebral artery, Dissection, Infarction, Subarachnoid hemorrhage
KMID :
1005420140160020119
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