Unmasking a subarachnoid hemorrhage

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Unmasking a subarachnoid hemorrhage.

A 53-year-old patient presented with acute headache. CT and intra/extracranial CT angiography were normal. A traumatic lumbar puncture showed 8,500 erythrocytes/mm and 24 leukocytes/mm. MRI showed extensive sulcal fluid-attenuated inversion recovery (FLAIR) hyperintensities suggesting subarachnoid hemorrhage (figure). However, since T2*-weighted sequences were normal and the patient was wearing...

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Aneurysmal subarachnoid hemorrhage (SAH) is a neurological emergency with high risk of neurological decline and death. Although the presentation of a thunderclap headache or the worst headache of a patient's life easily triggers the evaluation for SAH, subtle presentations are still missed. The gold standard for diagnostic evaluation of SAH remains noncontrast head computed tomography (CT) foll...

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Hospital Physician May 2007 31 S ubarachnoid hemorrhage (SAH) is a devastating acute neurologic emergency that follows rupture of a blood vessel into the subarachnoid space.1 SAH affects 21,000 to 33,000 persons per year in the United States,2 leading to significant morbidity and mortality. The 30-day mortality rate approaches 50%, and those who survive often suffer major neurologic morbidity.3...

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ژورنال

عنوان ژورنال: Neurology

سال: 2013

ISSN: 0028-3878,1526-632X

DOI: 10.1212/wnl.0b013e318296e9e5