NDLI: Spontaneous anterior cerebral artery dissection presenting with simultaneous subarachnoid hemorrhage and cerebral infarction in a patient with multiple extracranial arterial dissections.

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Spontaneous anterior cerebral artery dissection presenting with simultaneous subarachnoid hemorrhage and cerebral infarction in a patient with multiple extracranial arterial dissections.

Content Provider	Europe PMC
Author	Park, Yung Ki Yi, Hyeong-Joong Lee, Young Jun Kim, Young-Seo
Copyright Year	2013
Abstract	Simultaneous subarachnoid hemorrhage and infarction is a quite rare presentation in a patient with a spontaneous dissecting aneurysm of the anterior cerebral artery. Identifying relevant radiographic features and serial angiographic surveillance as well as mode of clinical manifestation, either hemorrhage or infarction, could sufficiently determine appropriate treatment. Enlargement of ruptured aneurysm and progressing arterial stenosis around the aneurysm indicates impending risk of subsequent stroke. In this setting, prompt treatment with stent-assisted endovascular embolization can be a reliable alternative to direct surgery. When multiple arterial dissections are coexistent, management strategy often became complicated. However, satisfactory clinical results can be obtained by acknowledging responsible arterial site with careful radiographic inspection and antiplatelet medication.
ISSN	20053711
Journal	Journal of Korean Neurosurgical Society
Volume Number	53
PubMed Central reference number	PMC3611055
Issue Number	2
PubMed reference number	23560177
e-ISSN	15987876
DOI	10.3340/jkns.2013.53.2.115
Language	English
Publisher	The Korean Neurosurgical Society
Publisher Date	2013-02-28
Access Restriction	Open
Rights License	This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2013 The Korean Neurosurgical Society
Subject Keyword	Dissecting aneurysm Subarachnoid hemorrhage Cerebral infarction Anterior cerebral artery Endovascular embolization
Content Type	Text
Resource Type	Article
Subject	Neuroscience Neurology (clinical) Surgery

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