medigraphic.com

2016, Number 4

Finlay 2016; 6 (4)

Hemorrhagic transformation in stroke

Villafuerte DD, Yanes IO, González PF

Language: Spanish
References: 12
Page: 334-338
PDF size: 111.86 Kb.


ABSTRACT

Cerebro-vascular disease is constituted by a group of severe entities which occur when blood supply to a brain zone is interrupted, caused by any anomalies as a result of a pathological process of blood vessels. Cerebro-vascular disease is associated to a high morbidity and mortality, among its complications hemorrhagic transformation occurs in a 6 % of the cases with a high mortality. Hemorrhagic transformation of stroke is one of the most fearful complications. It is presented a case of a patient with pathological antecedents of hypertension and ischemic heart disease who was admitted after having had a brain tomography without contrast which showed mild signs of diffuse cortical atrophy. In addition it was observed a hypodense zone which occupied almost the total hemisphere, reason for which it was decided to diagnose a hemorrhagic transformation of stroke.


REFERENCES

  1. Jauch EC, Stettler B. Ischemic Stroke Treatment and Management. Medscape [revista en Internet]. New York: Health Professional Network; 2015 [citado 3 Sep 2016]; . Disponible en: http://emedicine.medscape.com/article/1916852- treatment

  2. Dzialowski I, Pexman JH, Barber PA, Demchuck AM, Buchan AM, Hill MD, et al. Asymptomatic hemorrhage after thrombolysis may not be benign: prognosis by hemorrhage type in the Canadian alteplase for stroke effectiveness study registry. Stroke. 2007;38(1):75-9

  3. Bang OY, Saver JL, Alger JR, Shah SH, Buck BH, Starkman S, et al. Patterns and predictors of blood-brain barrier permeability deragements in acute ischemic stroke. Stroke. 2009;40(2):454-61

  4. Paciaroni M, Agnelli G, Corea F, Ageno W, Alberti A, Lanari A, et al. Early hemorrhagic transformation of brain infarction: rate, predictive factors, and influence on clinical outcome: results of a prospective multicenter study. Stroke. 2008;39(8):2249-56

  5. Hernández ZM, Reyes A, Buergo MA, Arteche M. Neuroimaginología: bases bioquímicas y su aplicación en la enfermedad cerebrovascular isquémica. Medisur [revista en Internet]. 2009 [citado 28 Ene 2015];7(3):[aprox. 8p]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1727-897X2009000300008

  6. Srinivasan A, Goyal M, Al Azri F, Lum CH. State of the Art Imaging of Acute Stroke. Radio Graphics [revista en Internet]. 2006 [citado 23 Oct 2015];26 Suppl 1:[aprox. 15p]. Disponible en: http://pubs.rsna.org/doi/full/10.1148/rg.26si0655 01

  7. Siebert E, Bohner G, Dewey M, Masuhr F, Hoffmann KT, Mews J, et al. 320-slice CT neuroimaging: initial clinical experience and image quality evaluation. Br J Radiol. 2009;82(979):561-70

  8. Delgado R. Predictores de la evolución clínico-radiológica del ictus isquémico agudo tras el tratamiento trombolítico [Internet]. Barcelona: Universidad Autónoma de Barcelona; 2008 [citado 12 Ene 2016]. Disponible en: http://tdx.cat/bitstream/handle/10803/4548/rdm1 de1.pdf?sequence=1

  9. Lip GY, Lim HS. Atrial fibrillation and stroke prevention. Lancet Neurol. 2007;6(11):981-93

  10. Ferro JM. Cardioembolic stroke: an update. Lancet Neurol. 2003;2(3):177-88

  11. Nates M, Cisneros S, Gómez JJ, Grau M, Diez F, Grande D. Infartos hemorrágicos: causas, grados y posibles errores [Internet]. Granada: Sociedad Española Radiología Médica; 2012 [citado 23 Mar 2016]. Disponible en: http://www.seram.es/www.seram2012.com

  12. Hong KS, Kang DW, Koo JS, Yu KH, Han MK, Cho YJ, et al. Impact of neurological and medical complications on 3-month outcomes in acute ischemic stroke. Eur J Neurol. 2008;15(12):1324-31




2020     |     www.medigraphic.com