Hemorrhagic transformation of stroke secondary to spontaneous internal carotid artery dissection

Ju Sing Fan; Feng Chi Chang; Han Hwa Hu; Li Chi Hsu

doi:10.1016/S1726-4901(09)70334-X

Hemorrhagic transformation of stroke secondary to spontaneous internal carotid artery dissection

Ju Sing Fan, Feng Chi Chang, Han Hwa Hu, Li Chi Hsu

Research output: Contribution to journal › Article › peer-review

Abstract

The clinical course of patients with hemorrhagic transformation in stroke secondary to spontaneous cervical internal carotid artery dissection (ICAD) has not been elucidated. We report a 36-year-old man with presentation of headache and subsequent left hemiparesis. Magnetic resonance imaging disclosed right ICAD with nearly complete occlusion of the right distal internal carotid artery and infarction over the right basal ganglion with hemorrhagic transformation in its central area. Hemorrhagic transformation can develop early in ICAD patients without preceding treatment with antithrombotic agents. Clinicians are urged to use antithrombotic agents with caution in patients with spontaneous ICAD with ischemic stroke because early hemorrhagic transformation may also be present. Possible pathomechanisms and treatment strategies are also discussed.

Original language	English
Pages (from-to)	585-588
Number of pages	4
Journal	Journal of the Chinese Medical Association
Volume	69
Issue number	12
DOIs	https://doi.org/10.1016/S1726-4901(09)70334-X
Publication status	Published - Jan 1 2006
Externally published	Yes

Keywords

Hemorrhagic transformation
Internal carotid artery dissection

ASJC Scopus subject areas

General Medicine

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10.1016/S1726-4901(09)70334-X

Cite this

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title = "Hemorrhagic transformation of stroke secondary to spontaneous internal carotid artery dissection",

abstract = "The clinical course of patients with hemorrhagic transformation in stroke secondary to spontaneous cervical internal carotid artery dissection (ICAD) has not been elucidated. We report a 36-year-old man with presentation of headache and subsequent left hemiparesis. Magnetic resonance imaging disclosed right ICAD with nearly complete occlusion of the right distal internal carotid artery and infarction over the right basal ganglion with hemorrhagic transformation in its central area. Hemorrhagic transformation can develop early in ICAD patients without preceding treatment with antithrombotic agents. Clinicians are urged to use antithrombotic agents with caution in patients with spontaneous ICAD with ischemic stroke because early hemorrhagic transformation may also be present. Possible pathomechanisms and treatment strategies are also discussed.",

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AU - Fan, Ju Sing

AU - Chang, Feng Chi

AU - Hu, Han Hwa

AU - Hsu, Li Chi

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N2 - The clinical course of patients with hemorrhagic transformation in stroke secondary to spontaneous cervical internal carotid artery dissection (ICAD) has not been elucidated. We report a 36-year-old man with presentation of headache and subsequent left hemiparesis. Magnetic resonance imaging disclosed right ICAD with nearly complete occlusion of the right distal internal carotid artery and infarction over the right basal ganglion with hemorrhagic transformation in its central area. Hemorrhagic transformation can develop early in ICAD patients without preceding treatment with antithrombotic agents. Clinicians are urged to use antithrombotic agents with caution in patients with spontaneous ICAD with ischemic stroke because early hemorrhagic transformation may also be present. Possible pathomechanisms and treatment strategies are also discussed.

AB - The clinical course of patients with hemorrhagic transformation in stroke secondary to spontaneous cervical internal carotid artery dissection (ICAD) has not been elucidated. We report a 36-year-old man with presentation of headache and subsequent left hemiparesis. Magnetic resonance imaging disclosed right ICAD with nearly complete occlusion of the right distal internal carotid artery and infarction over the right basal ganglion with hemorrhagic transformation in its central area. Hemorrhagic transformation can develop early in ICAD patients without preceding treatment with antithrombotic agents. Clinicians are urged to use antithrombotic agents with caution in patients with spontaneous ICAD with ischemic stroke because early hemorrhagic transformation may also be present. Possible pathomechanisms and treatment strategies are also discussed.

KW - Hemorrhagic transformation

KW - Internal carotid artery dissection

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Hemorrhagic transformation of stroke secondary to spontaneous internal carotid artery dissection

Abstract

Keywords

ASJC Scopus subject areas

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