Repeated Subarachnoid Hemorrhage after Mechanical Thrombectomy for Middle Cerebral Artery Occlusion: A Case Report.

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  • SAKAI Yu
    Neurosurgery, Tokyo Metropolitan Tama Medical Center
  • KOIZUMI Satoshi
    Neurosurgery, Tokyo Metropolitan Tama Medical Center
  • UEDA Masayuki
    Department of Neurology and Stroke Medicine, Tokyo Metropolitan Tama Medical Center
  • OTA Takahiro
    Neurosurgery, Tokyo Metropolitan Tama Medical Center

Bibliographic Information

Other Title
  • 中大脳動脈閉塞症に対する血栓回収術後のくも膜下出血が亜急性期に増悪した1 例
  • 症例報告 中大脳動脈閉塞症に対する血栓回収術後のくも膜下出血が亜急性期に増悪した1例
  • ショウレイ ホウコク チュウ ダイノウ ドウミャク ヘイソクショウ ニ タイスル ケッセン カイシュウ ジュツゴ ノ ク モ マク カ シュッケツ ガ アキュウセイキ ニ ゾウアク シタ 1レイ

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Abstract

<p>Objective: We report a rare case of subarachnoid hemorrhage after mechanical thrombectomy that worsened after a period of 72 h after the maneuver.</p><p>Case Presentation: An 80-year-old male had mechanical thrombectomy for right middle cerebral artery M1 occlusion. After maneuver, hemorrhage in the right Sylvian fissure was observed, but there was no expansion in the next day, so we started to use heparin. On the 5th day of hospitalization, he exhibited sudden disturbance of consciousness and left hemiparalysis, and head CT scan showed diffuse subarachnoid hemorrhage. Angiography did not show any obvious cause of hemorrhage. He was treated with conservative therapy and was transferred to a rehabilitation hospital.</p><p>Conclusion: The cause of hemorrhage was probably the rupture of a small blood vessel, and the hemorrhage was thought to have worsened with the use of heparin. It is necessary to discuss in the future about the possibility of hemorrhage that worsens after mechanical thrombectomy.</p>

Journal

  • No Kekkannai Chiryo

    No Kekkannai Chiryo 3 (1), 35-41, 2018

    The Japanese Society for Neuroendovascular Therapy

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