DOI QR코드

DOI QR Code

Focal Subarachnoid Hemorrhage Mimicking Recurrent Transient Ischemic Attack

반복적인 유사 일과성 허혈발작을 보인 국소거미막하출혈

  • Jeong, Byoung-Min (Department of Neurology, Chonbuk National University Medical School) ;
  • Ryu, Han Uk (Department of Neurology, Chonbuk National University Medical School) ;
  • Kang, Mi-Kyoung (Department of Neurology, Chonbuk National University Medical School) ;
  • Kang, Jin-Ju (Department of Neurology, Chonbuk National University Medical School) ;
  • Seo, Man-Wook (Department of Neurology, Chonbuk National University Medical School) ;
  • Oh, Sun-Young (Department of Neurology, Chonbuk National University Medical School) ;
  • Shin, Byoung-Soo (Department of Neurology, Chonbuk National University Medical School)
  • 정병민 (전북대학교 의과대학 신경과학교실) ;
  • 류한욱 (전북대학교 의과대학 신경과학교실) ;
  • 강미경 (전북대학교 의과대학 신경과학교실) ;
  • 강진주 (전북대학교 의과대학 신경과학교실) ;
  • 서만욱 (전북대학교 의과대학 신경과학교실) ;
  • 오선영 (전북대학교 의과대학 신경과학교실) ;
  • 신병수 (전북대학교 의과대학 신경과학교실)
  • Received : 2018.04.05
  • Accepted : 2018.06.12
  • Published : 2018.11.30

Abstract

Focal subarachnoid hemorrhage occasionally presents as transient focal neurologic episodes mimicking transient ischemic attack (TIA). Unless properly diagnosed, it may aggravate cerebral hemorrhage by administering antithrombotic agents. Therefore, clinicians need to be aware that such focal subarachnoid hemorrhage sometimes cannot be detected on noncontrast computed tomography and blood-sensitive magnetic resonance imaging can detect even a small amount of hemorrhage. We describe an 85-year-old woman with focal subarachnoid hemorrhage and possible cerebral amyloid angiopathy who presented transient left arm weakness recurrently, which mimicked TIA.

Keywords

References

  1. Easton JD, Saver JL, Albers GW, Alberts MJ, Chaturvedi S, Feldmann E, et al. Definition and evaluation of transient ischemic attack: attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease. The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists. Stroke 2009;40:2276-2293. https://doi.org/10.1161/STROKEAHA.108.192218
  2. Brunot S, Osseby GV, Rouaud O, Kazemi A, Ricolfi F, Couvreur G, et al. Transient ischaemic attack mimics revealing focal subarachnoid haemorrhage. Cerebrovasc Dis 2010;30:597-601. https://doi.org/10.1159/000319780
  3. Charidimou A, Peeters A, Fox Z, Gregoire SM, Vandermeeren Y, Laloux P, et al. Spectrum of transient focal neurological episodes in cerebral amyloid angiopathy: multicentre magnetic resonance imaging cohort study and meta-analysis. Stroke 2012;43:2324-2330. https://doi.org/10.1161/STROKEAHA.112.657759
  4. Apoil M, Cogez J, Dubuc L, Bataille M, De La Sayette V, Touze E, et al. Focal cortical subarachnoid hemorrhage revealed by recurrent paresthesias: a clinico-radiological syndrome strongly associated with cerebral amyloid angiopathy. Cerebrovasc Dis 2013;36:139-144. https://doi.org/10.1159/000353676
  5. Charidimou A, Baron JC, Werring DJ. Transient focal neurological episodes, cerebral amyloid angiopathy, and intracerebral hemorrhage risk: looking beyond TIAs. Int J Stroke 2013;8:105-108. https://doi.org/10.1111/ijs.12035
  6. Jeon JS, Kim JM, Kim YW, Hwang YH. Concomitant small intracerebral hemorrhage in a patient with cerebral amyloid angiopathy mimicking transient ischemic attack. J Korean Neurol Assoc 2015;33:71-72. https://doi.org/10.17340/jkna.2015.1.21
  7. Linn J, Halpin A, Demaerel P, Ruhland J, Giese AD, Dichgans M, et al. Prevalence of superficial siderosis in patients with cerebral amyloid angiopathy. Neurology 2010;74:1346-1350. https://doi.org/10.1212/WNL.0b013e3181dad605
  8. Ertl L, Morhard D, Deckert-Schmitz M, Linn J, Schulte-Altedorneburg G. Focal subarachnoid haemorrhage mimicking transient ischaemic attack-do we really need MRI in the acute stage? BMC Neurol 2014;14:80. https://doi.org/10.1186/1471-2377-14-80
  9. Eikermann-Haerter K, Dilekoz E, Kudo C, Savitz SI, Waeber C, Baum MJ, et al. Genetic and hormonal factors modulate spreading depression and transient hemiparesis in mouse models of familial hemiplegic migraine type 1. J Clinl Invest 2009;119:99.
  10. Rosenblum WI. Diagnosis of cerebral amyloid angiopathy: sensitivity and specificity of cortical biopsy. Stroke 1997;28:2095.