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Intracranial Hemorrhage Produced by Spontaneous Dissecting Intracranial Aneurysm
Harold P. Adams, Jr, MD;
Carol A. Aschenbrener, MD;
Neal F. Kassell, MD;
Linda Ansbacher, MD;
Steven H. Cornell, MD
Arch Neurol. 1982;39(12):773-776.
Abstract
• Two patients with intracranial dissecting aneurysms were seen initially because of acute hemorrhage. One patient died, and a false dissecting aneurysm secondary to atherosclerosis was found at autopsy. In the other patient, the appearance of the carotid arteriogram was typical of a dissection. Because of the propensity of these aneurysms to rupture, caution is indicated in the use of anticoagulants or vasopressors in patients with evolving cerebral infarction secondary to intracranial arterial dissection.
Author Affiliations
From the Departments of Neurology (Dr Adams), Pathology (Drs Aschenbrener and Ansbacher), Surgery (Dr Kassell), and Radiology (Dr Cornell), University of Iowa, Iowa City. Dr Ansbacher is now with the University of Missouri, Columbia.
Footnotes
Accepted for publication Feb 15, 1982.
Reprint requests to Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 (Dr Adams).
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