Journal of Korean Neurosurgical Society

  • 제53권2호
  • /
  • Pages.115-117
  • /
  • 2013
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Spontaneous Anterior Cerebral Artery Dissection Presenting with Simultaneous Subarachnoid Hemorrhage and Cerebral Infarction in a Patient with Multiple Extracranial Arterial Dissections

  • Park, Yung Ki (Department of Neurosurgery, Hanyang University Medical Center) ;
  • Yi, Hyeong-Joong (Department of Neurosurgery, Hanyang University Medical Center) ;
  • Lee, Young Jun (Department of Radiology, Hanyang University Medical Center) ;
  • Kim, Young-Seo (Department of Neurology, Hanyang University Medical Center)
  • 투고 : 2012.09.11
  • 심사 : 2013.02.04
  • 발행 : 2013.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Amagasaki K, Yagishita T, Yagi S, Kuroda K, Nishigaya K, Nukui H : Serial angiography and endovascular treatment of dissecting aneurysms of the anterior cerebral and vertebral arteries. Case report. J Neurosurg 91 : 682-686, 1999 https://doi.org/10.3171/jns.1999.91.4.0682
  2. Huang YC, Chen YF, Wang YH, Tu YK, Jeng JS, Liu HM : Cervicocranial arterial dissection : experience of 73 patients in a single center. Surg Neurol 72 Suppl 2 : S20-S27; discussion S27, 2009 https://doi.org/10.1016/j.surneu.2008.10.002
  3. Inoue T, Fujimura M, Matsumoto Y, Kondo R, Inoue T, Shimizu H, et al. : Simultaneous occurrence of subarachnoid hemorrhage and cerebral infarction caused by anterior cerebral artery dissection treated by endovascular trapping. Neurol Med Chir (Tokyo) 50 : 574-577, 2010 https://doi.org/10.2176/nmc.50.574
  4. Jensen MB, Chacon MR, Aleu A : Cervicocerebral arterial dissection. Neurologist 14 : 5-6, 2008 https://doi.org/10.1097/NRL.0b013e3180d0a380
  5. Kitanaka C, Tanaka J, Kuwahara M, Teraoka A, Sasaki T, Takakura K, et al. : Nonsurgical treatment of unruptured intracranial vertebral artery dissection with serial follow-up angiography. J Neurosurg 80 : 667-674, 1994 https://doi.org/10.3171/jns.1994.80.4.0667
  6. Koyama S, Kotani A, Sasaki J : Spontaneous dissecting aneurysm of the anterior cerebral artery : report of two cases. Surg Neurol 46 : 55-61, 1996 https://doi.org/10.1016/0090-3019(95)00485-8
  7. Kurino M, Yoshioka S, Ushio Y : Spontaneous dissecting aneurysms of anterior and middle cerebral artery associated with brain infarction : a case report and review of the literature. Surg Neurol 57 : 428-436; discussion 436-438, 2002 https://doi.org/10.1016/S0090-3019(02)00725-5
  8. Ohkuma H, Suzuki S, Kikkawa T, Shimamura N : Neuroradiologic and clinical features of arterial dissection of the anterior cerebral artery. AJNR Am J Neuroradiol 24 : 691-699, 2003
  9. Redekop GJ : Extracranial carotid and vertebral artery dissection : a review. Can J Neurol Sci 35 : 146-152, 2008 https://doi.org/10.1017/S0317167100008556
  10. Sato S, Toyoda K, Matsuoka H, Okatsu H, Kasuya J, Takada T, et al. : Isolated anterior cerebral artery territory infarction : dissection as an etiological mechanism. Cerebrovasc Dis 29 : 170-177, 2010 https://doi.org/10.1159/000262314
  11. Suzuki K, Mishina M, Okubo S, Abe A, Suda S, Ueda M, et al. : Anterior cerebral artery dissection presenting subarachnoid hemorrhage and cerebral infarction. J Nippon Med Sch 79 : 153-158, 2012 https://doi.org/10.1272/jnms.79.153
  12. Yonas H, Agamanolis D, Takaoka Y, White RJ : Dissecting intracranial aneurysms. Surg Neurol 8 : 407-415, 1977

피인용 문헌

  1. 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 w vol.16, pp.2, 2014, https://doi.org/10.7461/jcen.2014.16.2.119
  2. Overlapping Stents and Coil Embolization of Ruptured Anterior Cerebral Artery Dissecting Aneurysms in the Acute Phase vol.14, pp.10, 2013, https://doi.org/10.5797/jnet.cr.2019-0116