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KMID : 1005420080100030473
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Journal of Cerebrovascular and Endovascular Neurosurgery
2008 Volume.10 No. 3 p.473 ~ p.476
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Thromboembolism: Another substantial cause of delayed ischemic neurologic deficits after aneurysmal subarachnoid hemorrhage
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Cho Dong-Charn
Kim Jae-Min
Hong Hyun-Jong
Cheong Jin-Hwan
Bak Koang-Hum
Kim Choong-Hyun
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Abstract
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Vasospasm has been known as one of the most potent causes of delayed ischemic neurologic deficits (DINDs) after aneurysmal subarachnoid hemorrhage (SAH). An established effective therapy for vasospasm has been used in preventing cerebral ischemia. Nevertheless, several reports suggested the possibility that there may be other causes of DINDs from the cases which couldn’t be explained by hemodynamic vasospasm. Authors experienced two cases of thromboembolic infarction as a cause of DINDs after aneurysmal SAH. We propose that thromboembolism can be a considerable cause of DINDs independent of hemodynamic vasospasm.
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KEYWORD
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Neurologic deficits, ischemic, Vasospasm, hemodynamic, Subarachnoid hemorrhage, Thromboembolism
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