MISC

2007年7月

Dissecting posterior inferior cerebellar artery aneurysm presenting with subarachnoid hemorrhage right after anticoagulant and antiplatelet therapy against ischemic event

SURGICAL NEUROLOGY
  • Ichiro Takumi
  • ,
  • Takayuki Mizunari
  • ,
  • Masahiro Mishina
  • ,
  • Takaharu Fukuchi
  • ,
  • Ryutaro Nomura
  • ,
  • Katsuya Umeoka
  • ,
  • Shiro Kobayashi
  • ,
  • Akira Teramoto

68
1
開始ページ
103
終了ページ
107
記述言語
英語
掲載種別
DOI
10.1016/j.surneu.2006.08.063
出版者・発行元
ELSEVIER SCIENCE INC

Background: Dissecting aneurysms with initial ischemic manifestations may present with subsequent subarachnoid hemorrhage (SAH), and their treatment is controversial. This is a case report that illustrates the dilemma when dealing with an immediate post-SAH period dissecting posterior inferior cerebellar artery (PICA) aneurysm initially presenting with an ischemic event. Methods: We present a 57-year-old man with a dissecting PICA aneurysm who had SAH right after anticoagulant and antiplatelet therapy for cerebral infarction. The aneurysm was not detected by magnetic resonance angiography performed at the time of admission. Results: On admission, he was treated with both anticoagulant and antiplatelet therapy. After the SAH episode, he underwent emergent resection of the dissecting aneurysm and left OA-PICA anastomosis. Conclusion: If hemorrhagic transformation occurs at the site of an ischemic dissecting aneurysm, surgical or endovascular intervention should be considered immediately. Although the optimal treatment of dissecting aneurysms with ischemic onset remains controversial, anticoagulant and antiplatelet therapy should not be rejected out of hand. (c) 2007 Elsevier Inc. All rights reserved.

Web of Science ® 被引用回数 : 9

リンク情報
DOI
https://doi.org/10.1016/j.surneu.2006.08.063
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000247826600019&DestApp=WOS_CPL

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