Endovascular treatment of aneurysms has become an alternative to the neurosurgical approach. Here, we describe a patient presenting with a subarachnoid hemorrhage (SAH) due to a basilar tip aneurysm, which was completely occluded with coils. Fourteen days later the patient died due to massive recurrent SAH. Histologic evaluation showed aneurysm rerupture with coil dislocation in the subarachnoi...

Aneurysmal subarachnoid hemorrhage (SAH) can be devastating and associated intraparenchymal hematomas significantly increase the likelihood of neurological deficit. We report a case of a patient with an aneurysmal subarachnoid hemorrhage and a brainstem hematoma, but suffering only minimal sensory deficits. Our hypothesis is that the apparent brainstem hematoma was actually subarachnoid blood i...

conclusions chronic hypothyroidism and hypogonadism is not an issue in aneurysmal sah patients results serum prolactin was raised in 17.80% (13/73) and fsh, lh and testosterone levels were reduced in 12.32% (9/73) of patients in the acute phase at admission. after 9 months follow-up, serum prolactin normalized in all except one patient and in all the males, testosterone level increased signific...

Anoxic encephalopathy is frequently encountered in the medical intensive care unit (ICU). Cerebral edema as a result of anoxic brain injury can result in increased attenuation in the basal cisterns and subarachnoid spaces on computerized tomography (CT) scans of the head. These findings can mimic those seen in acute subarachnoid hemorrhage (SAH) and are referred to as pseudosubarachnoid hemorrh...

While a wide array of pathological changes occur in cerebral arteries following subarachnoid hemorrhage (SAH), the most consistent is endothelial damage. Since the endothelium normally modulates reflexes that influence vascular tone, any damage to it may represent a significant contributor to cerebral vasospasm following SAH. This experimental study investigates the correlation between end...

Patients suffering from aneurysmal subarachnoid hemorrhage often present with electrocardiogram (ECG) abnormalities that mimic cardiac ischemia, but documented left ventricular regional wall-motion dysfunction has rarely been reported. This report is intended to raise the awareness of possible ECG changes secondary to subarachnoid hemorrhage (SAH). We cared for a 55-year-old female with an acut...

Subarachnoid hemorrhage (SAH) is a devastating condition. It carries a high mortality rate, with 12% of patients dying before reaching the hospital. Aside from its neurological morbidities, SAH is associated with significant medical complications. Cardiac manifestations are common and can impact morbidity and mortality in SAH patients. This article will discuss the cardiac manifestations of SAH.

We present a patient with a subarachnoid hemorrhage (SAH) on the computed tomography and electrocardiogram changes compatible with myocardial infarction. SAH is a medical emergency, but it can be initially misdiagnosed. Diagnosis may be delayed due to atypical presentations of SAH and this may endanger the life of the patient. Electrocardiogram abnormalities have been described previously in SA...

Hydrocephalus has been demonstrated to be an independent risk factor for poor outcomes in patients with subarachnoid hemorrhage (SAH). Blockage of cerebrospinal fluid (CSF) flow and drainage is widely considered to play a vital role in communicating hydrocephalus, possibly due to subarachnoid fibrosis. A previous study indicated that transforming growth factor-β1 (TGF-β1), a key fibrogenic fact...