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KMID : 1005420160180030271
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Journal of Cerebrovascular and Endovascular Neurosurgery
2016 Volume.18 No. 3 p.271 ~ p.275
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Evaluation and Treatment of the Acute Cerebral Infarction with Convexal Subarachnoid Hemorrhage
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Lee Min-Hyung
Kim Sang-Uk
Lee Dong-Hoon
Kim Young-Il
Cho Chul-Bum
Yang Seung-Ho
Kim Il-Sup
Hong Jae-Taek
Sung Jae-Hoon
Lee Sang-Won
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Abstract
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Non-traumatic convexal subarachnoid hemorrhage (CSAH) is a comparatively infrequent with various vascular and nonvascular causes, it rarely occurs concomitant to acute ischemic stroke. We report a case of a 59-year-old woman, visited emergency room with right side subjective weakness spon- taneously. Magnetic resonance diffusion-weighted images revealed an acute infarction of anterior cerebral arterial territory. Computed tomographic angiography showed a left frontal CSAH without any vascular lesions. And other laboratory studies were non-specific. We treated with dual antiplatelet drugs (cilostazole [Otsuka Pharmaceutical Co., Ltd. tokyo, Japan] and Aspirin [Bayer Pharma AG., Leverkusen, Germany]). She has done well for a follow-up period. (5 months) This case demonstrates the CSAH with acute infarction is rare but need to work up to identify the etiology and antiplatelet dugs are taken into account for treatments.
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KEYWORD
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Convexal subarachnoid hemorrhage, Ischemic stroke, Antiplatelet drug, Computed tomographic angiography
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