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Delayed catastrophic intracerebral hemorrhage preceded by progressive recovery after carotid stenting for acute ischemic stroke
Journal article   Peer reviewed

Delayed catastrophic intracerebral hemorrhage preceded by progressive recovery after carotid stenting for acute ischemic stroke

Jason S Day and Harold P Adams Jr
Journal of stroke and cerebrovascular diseases, Vol.21(2), pp.151-154
02/2012
DOI: 10.1016/j.jstrokecerebrovasdis.2010.06.004
PMID: 20947378

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Abstract

Hemorrhagic transformation (HT) is a feared complication of reperfusion therapy for treatment of acute ischemic stroke. Generally, HT occurs within 24-36 hours after thrombolysis. We present a case of a fatal symptomatic HT of an infarction that occurred 7 days after acute ischemic stroke which was preceded by a remarkable recovery following a combination of acute revascularization therapies. Fatal symptomatic HT is a rare potential complication that can occur after several days of treatment of acute ischemic stroke.
Humans Stroke - diagnosis Carotid Artery Diseases - complications Catastrophic Illness Male Tomography, X-Ray Computed Cerebral Angiography - methods Time Factors Fatal Outcome Stents Angioplasty - instrumentation Stroke - therapy Cerebral Hemorrhage - etiology Platelet Aggregation Inhibitors - adverse effects Brain Ischemia - therapy Risk Factors Magnetic Resonance Angiography Treatment Outcome Brain Ischemia - etiology Carotid Artery Diseases - therapy Stroke - etiology Angioplasty - adverse effects Diffusion Magnetic Resonance Imaging Brain Ischemia - diagnosis Carotid Artery Diseases - diagnosis Aged Thrombolytic Therapy - adverse effects

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