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Published on: August 30, 2020
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Convexity subarachnoid hemorrhage in ischemic stroke
N Usmani1, F U Ahmad1, S Koch1
1Department of Neurology and Neurosurgery, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, FL, USA.
Journal of the Neurological Sciences
|December 16, 2014
Summary
Convexity subarachnoid hemorrhage (cSAH) can be an early complication of acute ischemic stroke. This study reports three cases, highlighting cSAH as a potential diagnosis in stroke patients.
Area of Science:
- Neurology
- Neuroradiology
- Neurocritical Care
Background:
- Convexity subarachnoid hemorrhage (cSAH) is a rare condition.
- Its association with acute ischemic stroke is infrequently documented.
Observation:
- Three cases of cSAH following acute ischemic stroke are presented.
- Two patients had ipsilateral internal carotid artery (ICA) stenosis, one post-ICA stenting.
- One patient developed cSAH with distal cortical ischemic lesions and normal cranial vasculature.
Findings:
- No evidence of cerebral amyloid angiopathy was found on MRI-GRE.
- All patients presented with ipsilateral acute ischemic stroke.
- Patients remained clinically stable with minimal neurological deficits at discharge.
Implications:
- These findings add to the literature linking cSAH with ischemic strokes.
- cSAH should be considered in the differential diagnosis of acute ischemic stroke.
- Early recognition and management of cSAH as a complication of stroke may improve patient outcomes.
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