Hemorrhagic transformation of stroke secondary to spontaneous internal carotid artery dissection

Ju Sing Fan, Feng Chi Chang, Han Hwa Hu, Li Chi Hsu

Research output: Contribution to journalArticlepeer-review


The clinical course of patients with hemorrhagic transformation in stroke secondary to spontaneous cervical internal carotid artery dissection (ICAD) has not been elucidated. We report a 36-year-old man with presentation of headache and subsequent left hemiparesis. Magnetic resonance imaging disclosed right ICAD with nearly complete occlusion of the right distal internal carotid artery and infarction over the right basal ganglion with hemorrhagic transformation in its central area. Hemorrhagic transformation can develop early in ICAD patients without preceding treatment with antithrombotic agents. Clinicians are urged to use antithrombotic agents with caution in patients with spontaneous ICAD with ischemic stroke because early hemorrhagic transformation may also be present. Possible pathomechanisms and treatment strategies are also discussed.

Original languageEnglish
Pages (from-to)585-588
Number of pages4
JournalJournal of the Chinese Medical Association
Issue number12
Publication statusPublished - Jan 1 2006
Externally publishedYes


  • Hemorrhagic transformation
  • Internal carotid artery dissection

ASJC Scopus subject areas

  • Medicine(all)


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