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KMID : 1155820130080020115
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Neurointervention
2013 Volume.8 No. 2 p.115 ~ p.119
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Safe Implementation of Mechanical Thrombectomy in Acute Stroke Patients with Major Arterial Occlusion and Concomitant Subdural Hematoma
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Kim Yong-Won
Hwang Yang-Ha
Park Sung-Pa
Kang Dong-Hun
Kim Yong-Sun
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Abstract
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Mechanical thrombectomy (MT) alone in cases of large-vessel acute ischemic stroke (AIS) with a concomitant subdural hematoma (SDH) seems feasible and safe, but there’s still a lack of evidence in the clinical literature. We report three cases of AIS with SDH, of which MT was performed with successful recanalization and no major changes in SDH: two elderly men with acute traumatic SDH and one man with incidental chronic SDH. (1) A 67-year-old man with acute traumatic SDH in the right side developed right middle cerebral artery (MCA) stroke, (2) a 72-year-old man with chronic SDH in the left side developed right MCA stroke, and (3) a 76-year-old-man with acute traumatic SDH in the right side developed top-of-basilar artery syndrome. As for AIS patients with a SDH, MT may be the only feasible and safe treatment option.
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KEYWORD
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Acute ischemic stroke, Subdural hematoma, Mechanical thrombectomy
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