Intracranial Hemorrhage Due to Secondary Hypertension from Intracranial Large Vessel Occlusion

Autor: Amit Rawal, Alex Waldman, Omar Saeed, Asif A. Khan
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Clinical Practice and Cases in Emergency Medicine, Vol 4, Iss 2 (2020)
Druh dokumentu: article
ISSN: 2474-252X
DOI: 10.5811/cpcem.2020.1.44908
Popis: Simultaneous hemorrhagic and ischemic strokes have been previously reported in the literature. Typically, these occur in patients secondary to dialysis, cerebral amyloid angiopathy, or thrombotic thrombocytopenic purpura. 1, 2, 3 However, this is the unique case of a 62-year-old Asian female who presented with a hemorrhagic stroke suspected to be secondary to refractory hypertension from intracranial large vessel atherosclerotic flow limiting stenosis, with rapid subsequent large vessel occlusion and ischemic stroke. Questions arise such as ideal blood pressure parameters for dual management, timeliness of computed tomography angiography imaging in the emergency department for detection of large vessel occlusion during intracranial hemorrhage, and subsequent selection of treatment plan in the dual-lesion patient population.
Databáze: Directory of Open Access Journals