Ischemic Stroke as a Warning Sign of Impending Aneurysmal Rupture: A Report of Two Cases.
aneurysm
hemodynamic-induced inflammation
ischemic stroke
subarachnoid hemorrhage
warning sign
Journal
NMC case report journal
ISSN: 2188-4226
Titre abrégé: NMC Case Rep J
Pays: Japan
ID NLM: 101692589
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
09
02
2020
accepted:
27
05
2020
entrez:
20
5
2021
pubmed:
21
5
2021
medline:
21
5
2021
Statut:
epublish
Résumé
Ischemic stroke associated with intracranial aneurysm is rare but potentially happens because of emboli originating from aneurysm sac or aneurysmal thrombosis extension to the parent artery. We describe two patients who present subarachnoid hemorrhage (SAH) soon after ischemic stroke. Case 1. A 51-year-old woman with a history of multiple endovascular therapy for ruptured basilar top aneurysm presented with double vision. Magnetic resonance imaging (MRI) revealed infarcts in the right thalamus and left occipital cortex. Four days after ischemic stroke, she suffered from sudden onset headache, computed tomography (CT) showed diffuse SAH with intraventricular hemorrhage. Case 2. A 62-year-old man presented with right facial palsy and sensory disorder. MRI revealed an infarct in the left pons. Four days after ischemic stroke, he became comatose and CT showed diffuse SAH. Both cases develop ischemic stroke adjacent to the aneurysms and subsequently cause devasting aneurysm rupture, suggesting ischemic stroke as a warning sign of aneurysm rupture. In such cases, early treatment of the aneurysm should be considered.
Identifiants
pubmed: 34012755
doi: 10.2176/nmccrj.cr.2020-0040
pii: nmccrj-8-85
pmc: PMC8116920
doi:
Types de publication
Case Reports
Langues
eng
Pagination
85-88Informations de copyright
© 2021 The Japan Neurosurgical Society.
Déclaration de conflit d'intérêts
Conflicts of Interest Disclosure No authors report any conflicts of interest.
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