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Stroke, Vol 24, 1400-1402, Copyright © 1993 by American Heart Association

ARTICLES

Intracerebral hemorrhage caused by transmural dissection of the anterior cerebral artery

J Guridi, J Gallego, F Monzon and F Aguilera
Department of Neurosurgery, Hospital de Navarra, Pamplona, Spain.

BACKGROUND AND PURPOSE: Spontaneous dissection of the intracranial carotid artery or its main branches is an unusual condition. CASE DESCRIPTION: A 72-year-old hypertensive woman after an intense nuchal rigidity showed a subarachnoid hemorrhage and an interhemispheric hematoma by computed tomography. The neuropathological study revealed a transmural dissection of the pericallosal artery. CONCLUSIONS: The authors suggest that the dissection origin is an atheromatous plaque that bleeds, producing a dissection plane from the lumen to the adventitial artery.

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