Cerebral infarction secondary to vasospasm after perimesencephalic subarachnoid hemorrhage.

Autor: Fernandez A; Department of Neurology, Jackson Memorial Hospital/University of Miami Miller School of Medicine, Miami, Florida, USA., Bond RL, Aziz-Sultan MA, Olvey SE, Mangat HS
Jazyk: angličtina
Zdroj: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [J Clin Neurosci] 2011 Jul; Vol. 18 (7), pp. 994-6. Date of Electronic Publication: 2011 May 11.
DOI: 10.1016/j.jocn.2010.12.012
Abstrakt: Perimesencephalic subarachnoid hemorrhage (pSAH) has been described as a distinct form of subarachnoid hemorrhage (SAH) associated with good outcomes. We report a 48-year-old female who developed cerebral infarction due to severe diffuse vasospasm following pSAH. The patient presented with non-aneurysmal pSAH and was discharged home on day 5. However, one week later she developed an acute onset of right hemiparesis. A brain MRI showed acute infarctions on diffusion weighted imaging and her cerebral angiogram showed diffuse vasospasm. The patient received intra-arterial diltiazem and hypervolemic-hypertensive-hemodilution therapy with resulting resolution of the vasospasm and hemiparesis. While not as common as in SAH, there is a potential for the occurrence of cerebral infarction due to vasospasm after pSAH.
(Copyright © 2011 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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