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Case Report Open Access

Good recovery of subarachnoid hemorrhage concomitant with ischemia due to anterior cerebral artery dissection by conservative treatment: A case report

  • Authors:
    • Yiqi Wang
    • Yu Geng
    • Zongjie Shi
    • Tianming Shi
    • Jinhua Zhang
  • View Affiliations / Copyright

    Affiliations: Department of Neurology, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang 310014, P.R. China
    Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 155-158
    |
    Published online on: May 17, 2017
       https://doi.org/10.3892/etm.2017.4462
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Abstract

The present report describes the case of a 57‑year‑old woman presenting with subarachnoid hemorrhage (SAH) and acute ischemic stroke (AIS) due to anterior cerebral artery (ACA) dissection, which exhibited severe stenosis at the origin with distal dilatation of the A2 segment and occlusion of the A3 segment. In this case, computed tomography (CT) revealed SAH in right superior frontal sulcus and the interhemispheric fissure. Magnetic resonance imaging demonstrated acute infarct in the territory of the right ACA. Brain digital subtraction angiography showed severe stenosis at the origin of the A2 segment with distal dilatation and occlusion at the origin of the A3 segment of the right ACA, suggesting a diagnosis of dissection. Only treatment with atorvastatin, her clinical condition subsequently improved. The stenosis and dilatation of A2 segment were ameliorated as demonstrated by a follow‑up CT angiography 5 months after onset. SAH concomitant with ischemia caused by ACA dissection is rare. Conservative treatment may be a safe and effective choice for patients with SAH concomitant with AIS due to ACA dissection.
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Copy and paste a formatted citation
Spandidos Publications style
Wang Y, Geng Y, Shi Z, Shi T and Zhang J: Good recovery of subarachnoid hemorrhage concomitant with ischemia due to anterior cerebral artery dissection by conservative treatment: A case report. Exp Ther Med 14: 155-158, 2017.
APA
Wang, Y., Geng, Y., Shi, Z., Shi, T., & Zhang, J. (2017). Good recovery of subarachnoid hemorrhage concomitant with ischemia due to anterior cerebral artery dissection by conservative treatment: A case report. Experimental and Therapeutic Medicine, 14, 155-158. https://doi.org/10.3892/etm.2017.4462
MLA
Wang, Y., Geng, Y., Shi, Z., Shi, T., Zhang, J."Good recovery of subarachnoid hemorrhage concomitant with ischemia due to anterior cerebral artery dissection by conservative treatment: A case report". Experimental and Therapeutic Medicine 14.1 (2017): 155-158.
Chicago
Wang, Y., Geng, Y., Shi, Z., Shi, T., Zhang, J."Good recovery of subarachnoid hemorrhage concomitant with ischemia due to anterior cerebral artery dissection by conservative treatment: A case report". Experimental and Therapeutic Medicine 14, no. 1 (2017): 155-158. https://doi.org/10.3892/etm.2017.4462
Copy and paste a formatted citation
x
Spandidos Publications style
Wang Y, Geng Y, Shi Z, Shi T and Zhang J: Good recovery of subarachnoid hemorrhage concomitant with ischemia due to anterior cerebral artery dissection by conservative treatment: A case report. Exp Ther Med 14: 155-158, 2017.
APA
Wang, Y., Geng, Y., Shi, Z., Shi, T., & Zhang, J. (2017). Good recovery of subarachnoid hemorrhage concomitant with ischemia due to anterior cerebral artery dissection by conservative treatment: A case report. Experimental and Therapeutic Medicine, 14, 155-158. https://doi.org/10.3892/etm.2017.4462
MLA
Wang, Y., Geng, Y., Shi, Z., Shi, T., Zhang, J."Good recovery of subarachnoid hemorrhage concomitant with ischemia due to anterior cerebral artery dissection by conservative treatment: A case report". Experimental and Therapeutic Medicine 14.1 (2017): 155-158.
Chicago
Wang, Y., Geng, Y., Shi, Z., Shi, T., Zhang, J."Good recovery of subarachnoid hemorrhage concomitant with ischemia due to anterior cerebral artery dissection by conservative treatment: A case report". Experimental and Therapeutic Medicine 14, no. 1 (2017): 155-158. https://doi.org/10.3892/etm.2017.4462
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