목동맥 스텐트 삽입술 후 발생한 지연성 뇌출혈 1예
A Case of Delayed Intracerebral Hemorrhage after Carotid Artery Stenting
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Intracerebral hemorrhage (ICH) is a well-known but rare complication of carotid artery stenting (CAS). Hemorrhage follow-ing CAS usually develops within several hours to a few days after the procedure. A 69-year-old hypertensive man developed sud-den left paresis with clonic partial seizures in the left arm. Ten days before admission, he underwent CAS for a 70% stenosis of the left common and a 75% stenosis of proximal internal carotid artery associated with contralateral carotid and bilateral ver-tebral occlusion. There were no procedural complications. A brain CT at admission showed large right frontal hemorrhage with encephalomalacia in the territory of the right middle cerebral artery. The patient recovered with a mild left paresis. We report a case of ICH occurred 10 days after CAS. (Korean J Stroke 2009;11:32-35) KEY WORDS: Internal carotid artery stenosis·Stents·Cerebral hemorrhage.
Abstract
Intracerebral hemorrhage (ICH) is a well-known but rare complication of carotid artery stenting (CAS). Hemorrhage follow-ing CAS usually develops within several hours to a few days after the procedure. A 69-year-old hypertensive man developed sud-den left paresis with clonic partial seizures in the left arm. Ten days before admission, he underwent CAS for a 70% stenosis of the left common and a 75% stenosis of proximal internal carotid artery associated with contralateral carotid and bilateral ver-tebral occlusion. There were no procedural complications. A brain CT at admission showed large right frontal hemorrhage with encephalomalacia in the territory of the right middle cerebral artery. The patient recovered with a mild left paresis. We report a case of ICH occurred 10 days after CAS. (Korean J Stroke 2009;11:32-35) KEY WORDS: Internal carotid artery stenosis·Stents·Cerebral hemorrhage.
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