Unrecognized Ruptured Intracranial Aneurysm Presenting as Cerebral Vasospasm-Induced Ischemic Stroke: A Case Report
A 44-year-old woman presented with acute confusion, apparently due to a clinically silent subarachnoid hemorrhage followed by vasospasm, which in turn led to an ischemic stroke. During the initial evaluation, an acute ischemic stroke in the left middle cerebral artery territory was observed. Magneti...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Interventional Neuroradiology
2021-07-01
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| Series: | Neurointervention |
| Subjects: | |
| Online Access: | http://neurointervention.org/upload/pdf/neuroint-2021-00017.pdf |
| _version_ | 1797331990389719040 |
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| author | Joong-Goo Kim Chul-Hoo Kang Jay Chol Choi Jong-Kook Rhim |
| author_facet | Joong-Goo Kim Chul-Hoo Kang Jay Chol Choi Jong-Kook Rhim |
| author_sort | Joong-Goo Kim |
| collection | DOAJ |
| description | A 44-year-old woman presented with acute confusion, apparently due to a clinically silent subarachnoid hemorrhage followed by vasospasm, which in turn led to an ischemic stroke. During the initial evaluation, an acute ischemic stroke in the left middle cerebral artery territory was observed. Magnetic resonance imaging revealed a late subacute hemorrhage in the left basal cistern. Digital subtraction angiography indicated the presence of a small saccular aneurysm that had recently ruptured, as well as vasospasm in the left circle of Willis. Balloon angioplasty and balloon-assisted coil embolization were performed for the vasospasm and saccular aneurysm, respectively. This case demonstrates that clinically silent subarachnoid hemorrhages resulting in ipsilateral vasospasm and infarction can occur as complications of a ruptured aneurysm. |
| first_indexed | 2024-03-08T07:42:09Z |
| format | Article |
| id | doaj.art-a3308e7193ae4bfcb08a93b6bbded726 |
| institution | Directory Open Access Journal |
| issn | 2093-9043 2233-6273 |
| language | English |
| last_indexed | 2024-03-08T07:42:09Z |
| publishDate | 2021-07-01 |
| publisher | Korean Society of Interventional Neuroradiology |
| record_format | Article |
| series | Neurointervention |
| spelling | doaj.art-a3308e7193ae4bfcb08a93b6bbded7262024-02-02T16:54:58ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732021-07-0116218018410.5469/neuroint.2021.00017325Unrecognized Ruptured Intracranial Aneurysm Presenting as Cerebral Vasospasm-Induced Ischemic Stroke: A Case ReportJoong-Goo Kim0Chul-Hoo Kang1Jay Chol Choi2Jong-Kook Rhim3 Department of Neurology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea Department of Neurology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea Department of Neurology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea Department of Neurosurgery, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, KoreaA 44-year-old woman presented with acute confusion, apparently due to a clinically silent subarachnoid hemorrhage followed by vasospasm, which in turn led to an ischemic stroke. During the initial evaluation, an acute ischemic stroke in the left middle cerebral artery territory was observed. Magnetic resonance imaging revealed a late subacute hemorrhage in the left basal cistern. Digital subtraction angiography indicated the presence of a small saccular aneurysm that had recently ruptured, as well as vasospasm in the left circle of Willis. Balloon angioplasty and balloon-assisted coil embolization were performed for the vasospasm and saccular aneurysm, respectively. This case demonstrates that clinically silent subarachnoid hemorrhages resulting in ipsilateral vasospasm and infarction can occur as complications of a ruptured aneurysm.http://neurointervention.org/upload/pdf/neuroint-2021-00017.pdfcerebral aneurysmstrokeangioplastyintracranial vasospasmmagnetic resonance imaging |
| spellingShingle | Joong-Goo Kim Chul-Hoo Kang Jay Chol Choi Jong-Kook Rhim Unrecognized Ruptured Intracranial Aneurysm Presenting as Cerebral Vasospasm-Induced Ischemic Stroke: A Case Report Neurointervention cerebral aneurysm stroke angioplasty intracranial vasospasm magnetic resonance imaging |
| title | Unrecognized Ruptured Intracranial Aneurysm Presenting as Cerebral Vasospasm-Induced Ischemic Stroke: A Case Report |
| title_full | Unrecognized Ruptured Intracranial Aneurysm Presenting as Cerebral Vasospasm-Induced Ischemic Stroke: A Case Report |
| title_fullStr | Unrecognized Ruptured Intracranial Aneurysm Presenting as Cerebral Vasospasm-Induced Ischemic Stroke: A Case Report |
| title_full_unstemmed | Unrecognized Ruptured Intracranial Aneurysm Presenting as Cerebral Vasospasm-Induced Ischemic Stroke: A Case Report |
| title_short | Unrecognized Ruptured Intracranial Aneurysm Presenting as Cerebral Vasospasm-Induced Ischemic Stroke: A Case Report |
| title_sort | unrecognized ruptured intracranial aneurysm presenting as cerebral vasospasm induced ischemic stroke a case report |
| topic | cerebral aneurysm stroke angioplasty intracranial vasospasm magnetic resonance imaging |
| url | http://neurointervention.org/upload/pdf/neuroint-2021-00017.pdf |
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