naa a22 4500 510800343 CHVBK 20180411083352.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12028-012-9781-2 doi (NATIONALLICENCE)springer-10.1007/s12028-012-9781-2 Intracranial Supraclinoid ICA Dissection Causing Cerebral Infarction and Subsequent Subarachnoid Hemorrhage [Elektronische Daten] [Naif Alotaibi, Jennifer Fugate, Timothy Kaufmann, Alejandro Rabinstein, Eelco Wijdicks, Giuseppe Lanzino] Background: Intracranial arterial dissection usually leads to cerebral infarction or subarachnoid hemorrhage (SAH). It is rare to see both complications in one clinical scenario. Methods: Case report and review of the literature. Results: A 48-year-old woman suffered a left middle cerebral infarct from a dissection of the left supraclinoid ICA. As she was recovering from the ischemic stroke 5days later she suffered a SAH. The SAH was caused by rupture of a dissecting pseudoaneurysm, which only became evident on repeat catheter angiography. The dissecting pseudoaneurysm was treated with coil occlusion. Conclusion: Intracranial ICA dissections are typically associated with either ischemic or hemorrhagic presentation. We report an unusual case of a patient who suffered a SAH a few days after an ischemic stroke from the dissection. This case contradicts the long-held dogma that intracranial dissection can have either an ischemic or a hemorrhagic presentation, but not both. Springer Science+Business Media New York, 2012 Intracranial dissection nationallicence Ischemic stroke nationallicence Subarachnoid hemorrhage (SAH) nationallicence Dissecting pseudoaneurysm nationallicence Internal carotid artery nationallicence Alotaibi Naif Department of Neurologic Surgery, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut Fugate Jennifer Department of Neurology, Mayo Clinic, Rochester, MN, USA aut Kaufmann Timothy Department of Radiology, Mayo Clinic, Rochester, MN, USA aut Rabinstein Alejandro Department of Neurology, Mayo Clinic, Rochester, MN, USA aut Wijdicks Eelco Department of Neurology, Mayo Clinic, Rochester, MN, USA aut Lanzino Giuseppe Department of Neurologic Surgery, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut Neurocritical Care Humana Press Inc 18/2(2013-04-01), 252-256 1541-6933 18:2<252 2013 18 12028 https://doi.org/10.1007/s12028-012-9781-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12028-012-9781-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Alotaibi Naif Department of Neurologic Surgery, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 700 1- Fugate Jennifer Department of Neurology, Mayo Clinic, Rochester, MN, USA aut NATIONALLICENCE 700 1- Kaufmann Timothy Department of Radiology, Mayo Clinic, Rochester, MN, USA aut NATIONALLICENCE 700 1- Rabinstein Alejandro Department of Neurology, Mayo Clinic, Rochester, MN, USA aut NATIONALLICENCE 700 1- Wijdicks Eelco Department of Neurology, Mayo Clinic, Rochester, MN, USA aut NATIONALLICENCE 700 1- Lanzino Giuseppe Department of Neurologic Surgery, Mayo Clinic, 200 First Street SW, 55905, Rochester, MN, USA aut NATIONALLICENCE 773 0- Neurocritical Care Humana Press Inc 18/2(2013-04-01), 252-256 1541-6933 18:2<252 2013 18 12028 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer