Scientific publications

Intracerebral hemorrhage caused by transmural dissection of the anterior cerebral artery

Guridi J, Gállego J [SP], Monzón F, Aguilera F.
Department of Neurosurgery, Hospital de Navarra, Pamplona, Spain

Magazine: Stroke

Date: Sep 1, 1993

Neurology [SP] Neurosurgery

BACKGROUND AND PURPOSE
Spontaneous dissection of the intracranial carotid artery or its main branches is an unusual condition.

CASE DESCRIPTION
A 72-year-old hypertensive woman after an intense nuchal rigidity showed a subarachnoid hemorrhage and an interhemispheric hematoma by computed tomography. The neuropathological study revealed a transmural dissection of the pericallosal artery.

CONCLUSIONS
The authors suggest that the dissection origin is an atheromatous plaque that bleeds, producing a dissection plane from the lumen to the adventitial artery.

CITATION Stroke. 1993 Sep;24(9):1400-2

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