{"pk":797,"title":"Intracranial Hemorrhage Due to Secondary Hypertension from Intracranial Large Vessel Occlusion","subtitle":null,"abstract":"Simultaneous hemorrhagic and ischemic strokes have been previously reported in the literature. Typically, these occur in patients secondary to dialysis, cerebral amyloid angiopathy, or thrombotic thrombocytopenic purpura.1,2,3 However, this is the unique case of a 62-year-old Asian female who presented with a hemorrhagic stroke suspected to be secondary to refractory hypertension from intracranial large vessel atherosclerotic flow limiting stenosis, with rapid subsequent large vessel occlusion and ischemic stroke. Questions arise such as ideal blood pressure parameters for dual management, timeliness of computed tomography angiography imaging in the emergency department for detection of large vessel occlusion during intracranial hemorrhage, and subsequent selection of treatment plan in the dual-lesion patient population.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2j48n4hb","frozenauthors":[{"first_name":"Amit","middle_name":"","last_name":"Rawal","name_suffix":"","institution":"North Florida Regional Medical Center, Department of Emergency Medicine, Gainesville, Florida","department":"None"},{"first_name":"Alex","middle_name":"","last_name":"Waldman","name_suffix":"","institution":"North Florida Regional Medical Center, Department of Emergency Medicine, Gainesville, Florida","department":"None"},{"first_name":"Omar","middle_name":"","last_name":"Saeed","name_suffix":"","institution":"University of Tennessee Health Science Center, Department of Neurology, Memphis, Tennessee; Zeenat Qureshi Stroke Institute, St. Cloud, Minnesota","department":"None"},{"first_name":"Asif","middle_name":"A.","last_name":"Khan","name_suffix":"","institution":"North Florida Regional Medical Center, Department of Vascular and Interventional Neurology, Gainesville, Florida","department":"None"}],"date_submitted":"2020-03-03T02:08:39Z","date_accepted":"2020-03-03T02:08:39Z","date_published":"2020-03-03T02:09:26Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/797/galley/551/download/"}]}