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Delayed subarachnoid hemorrhage 7 years after cerebellar infarction from traumatic vertebral artery dissection
- Source :
- Journal of neurointerventional surgery. 9(4)
- Publication Year :
- 2016
-
Abstract
- Vertebral artery dissection (VAD) is an important cause of ischemic stroke and subarachnoid hemorrhage (SAH). Dissections presenting with ischemia rarely cause SAH after more than a few hours, especially without radiographic evidence of pseudoaneurysm. We successfully treated a patient for persistent vessel injury presenting with SAH 7 years after presenting with extracranial subocclusive dissection of the right vertebral artery and an associated right posterior inferior cerebellar artery stroke. This is one of only three reported cases of delayed SAH occurring more than 2 weeks after an initial ischemic presentation of a VAD, and the only one without radiographic evidence of pseudoaneurysm at standard follow-up duration.
- Subjects :
- Brain Infarction
Male
medicine.medical_specialty
Subarachnoid hemorrhage
Brain Stem Infarctions
Time Factors
Vertebral artery dissection
Ischemia
Article
03 medical and health sciences
Pseudoaneurysm
0302 clinical medicine
Medicine
Humans
030216 legal & forensic medicine
cardiovascular diseases
Stroke
Vertebral Artery
Traumatic Vertebral Artery Dissection
Vertebral Artery Dissection
business.industry
Accidents, Traffic
General Medicine
Middle Aged
Subarachnoid Hemorrhage
medicine.disease
Surgery
nervous system diseases
Cerebral Angiography
Dissection
Treatment Outcome
Neurology (clinical)
Presentation (obstetrics)
business
Tomography, X-Ray Computed
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 17598486
- Volume :
- 9
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of neurointerventional surgery
- Accession number :
- edsair.doi.dedup.....6169c30ceaf168f3a9a32fa5c67e23aa