Intracranial supraclinoid ICA dissection causing cerebral infarction and subsequent subarachnoid hemorrhage

Naif M. Alotaibi, Jennifer E. Fugate, Timothy J Kaufmann, Alejandro Rabinstein, Eelco F M Wijdicks, Giuseppe Lanzino

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Intracranial arterial dissection usually leads to cerebral infarction or subarachnoid hemorrhage (SAH). It is rare to see both complications in one clinical scenario. Methods: Case report and review of the literature. Results: A 48-year-old woman suffered a left middle cerebral infarct from a dissection of the left supraclinoid ICA. As she was recovering from the ischemic stroke 5 days later she suffered a SAH. The SAH was caused by rupture of a dissecting pseudoaneurysm, which only became evident on repeat catheter angiography. The dissecting pseudoaneurysm was treated with coil occlusion. Conclusion: Intracranial ICA dissections are typically associated with either ischemic or hemorrhagic presentation. We report an unusual case of a patient who suffered a SAH a few days after an ischemic stroke from the dissection. This case contradicts the long-held dogma that intracranial dissection can have either an ischemic or a hemorrhagic presentation, but not both.

Original languageEnglish (US)
Pages (from-to)252-256
Number of pages5
JournalNeurocritical Care
Volume18
Issue number2
DOIs
StatePublished - Apr 2013

Fingerprint

Cerebral Infarction
Subarachnoid Hemorrhage
Dissection
False Aneurysm
Stroke
Cerebral Hemorrhage
Rupture
Angiography
Catheters

Keywords

  • Dissecting pseudoaneurysm
  • Internal carotid artery
  • Intracranial dissection
  • Ischemic stroke
  • Subarachnoid hemorrhage (SAH)

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

Cite this

Intracranial supraclinoid ICA dissection causing cerebral infarction and subsequent subarachnoid hemorrhage. / Alotaibi, Naif M.; Fugate, Jennifer E.; Kaufmann, Timothy J; Rabinstein, Alejandro; Wijdicks, Eelco F M; Lanzino, Giuseppe.

In: Neurocritical Care, Vol. 18, No. 2, 04.2013, p. 252-256.

Research output: Contribution to journalArticle

Alotaibi, Naif M. ; Fugate, Jennifer E. ; Kaufmann, Timothy J ; Rabinstein, Alejandro ; Wijdicks, Eelco F M ; Lanzino, Giuseppe. / Intracranial supraclinoid ICA dissection causing cerebral infarction and subsequent subarachnoid hemorrhage. In: Neurocritical Care. 2013 ; Vol. 18, No. 2. pp. 252-256.
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