J Cerebrovasc Endovasc Neurosurg.  2017 Jun;19(2):125-128. 10.7461/jcen.2017.19.2.125.

Simultaneous Onset of Ischemic and Hemorrhagic Stroke Due To Intracranial Artery Dissection

• Kim JH
• Jung YJ
• Chang CH

• KMID: 2393392
• DOI: http://doi.org/10.7461/jcen.2017.19.2.125

Abstract

Intracranial dissections commonly present as ischemic stroke and as hemorrhagic stroke. In general, while either ischemic stroke or hemorrhagic stroke may develop, the simultaneous onset of both may also occasionally occur. In this report, we present a case of simultaneous development of ischemic stroke and hemorrhagic stroke due to an intracranial artery dissection.

Keyword

Stroke; Dissecting aneurysm; Internal carotid artery

MeSH Terms

Aneurysm, Dissecting
Arteries*
Carotid Artery, Internal
Stroke*

Figure

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  Fig. 1 (A) Brain computed tomography (CT) shows high density in the right sylvian fissure. (B) Brain CT angiography shows the right middle cerebral artery occlusion. (C) Brain MRI shows an acute infarction in the right striatocapsular area. (D) DSA shows the right middle cerebral artery occlusion with no definite abnormal lesion in the supraclinoid internal carotid artery. MRI = magnetic resonance imaging; DSA = digital subtraction angiography.

• 

  Fig. 2 (A) Brain CT shows high-density in the basal cistern. (B) DSA shows a dissecting aneurysm in the supraclinoid portion. CT = computed tomography; DSA = digital subtraction angiography.

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  Fig. 3 Low density due to vasospasm is detected in both cerebral hemispheres.

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