scholarly journals Subarachnoid Hemorrhage: A Case Report

Author(s):  
. Huldani ◽  
Herlina Uinarni ◽  
. Fauziah ◽  
San Gunma ◽  
Muhammad Zaini

We reported a case report of a 50-year-old woman with stroke hemorrhage due to subarachnoid hemorrhage with hypertensive urgency, left ventricular hypertrophy, and dyslipidemia. Subarachnoid hemorrhage indicates the presence of blood in the subarachnoid space between the pia mater and arachnoid mater which usually results from a ruptured cerebral aneurysm or arteriovenous malformation. The patient presents with decreased consciousness preceded by severe headache and projectile vomiting. In physical examination, we found hypertensive emergencies and positive meningeal signs, neck stiffness, and positive Brudzinski. CT scan shows bleeding in the pontocerebellar cistern and ventricular system. The patient was diagnosed with subarachnoid hemorrhage, intraventricular hemorrhage, and emergency hypertensive. The patient was hospitalized in the neurology ward of Ulin Hospital for 20 days with the management of antihypertensive, neuroprotectant, other symptomatic medications, and ventriculoperitoneal shunt surgery. The patient was then discharged home in a stable condition.

Author(s):  
Xin Zhang ◽  
Lei Xu ◽  
Jing Mang ◽  
Xiaohua Shi ◽  
Zhongxin Xu

Introduction: At present, the mechanism of telangiectasia is unknown, but some evidence suggests that it may be related to genetic abnormalities. Telangiectasia may lead to bleeding of multiple sites. CT-negative subarachnoid hemorrhage is rare, which is mostly related to hemorrhage with a little amount of bleeding. CT-negative subarachnoid hemorrhage due to telangiectasia has not been reported. Case Report: In this case report, the patient experienced severe headache with nausea, vomiting, and blurred vision for 12 days, and had a history of hypertension. Physical examination revealed a clear state of mind, normal speech, normal limb muscle strength, 2 transverse fingers of neck stiffness, and negative bilateral Babinski signs. Brain CT, MRI, MRA, and MRV showed no obvious abnormalities. SWI suggested the possibility of capillary dilation. The cerebrospinal fluid was pale yellow in appearance after lumbar puncture. Diagnosis: The patient was diagnosed with subarachnoid hemorrhage(SAH) and capillary dilatation. Interventions: Therapeutic management of blood pressure and brain edema was started. Conclusion: Lumbar puncture should be performed when subarachnoid hemorrhage is clinically suspected and CT is negative. While searching for the cause of subarachnoid hemorrhage, the presence of telangiectasia should be ascertained.


2016 ◽  
Vol 35 (6) ◽  
pp. 379.e1-379.e3
Author(s):  
Isa Öner Yuksel ◽  
Erkan Koklu ◽  
Sakir Arslan ◽  
Goksel Cagirci ◽  
Selcuk Kucukseymen

2019 ◽  
Vol 21 (1) ◽  
pp. 18
Author(s):  
Seung Soo Kim ◽  
Kyeong-O Go ◽  
Hyun Park ◽  
Kwangho Lee ◽  
Gyeong Hwa Ryu ◽  
...  

2010 ◽  
Vol 29 (3) ◽  
pp. 165-171 ◽  
Author(s):  
Ali Bulbul ◽  
Fatih Bolat ◽  
Serdar Comert ◽  
Hilmi Demirin ◽  
Canan Tanik ◽  
...  

2020 ◽  
Vol 23 (6) ◽  
pp. E740-E742
Author(s):  
Trang Nguyen ◽  
Anh Vo ◽  
Danh Nguyen ◽  
Thanh Vu ◽  
Dinh Nguyen

We describe a 57-year-old man with symptomatic severe aortic stenosis who underwent aortic valve reconstruction with glutaraldehyde-treated autologous pericardium with the Ozaki technique (Ozaki procedure). Seven months later, he rapidly developed progressive left ventricular hypertrophy with a left ventricular outflow tract obstruction. This required a reoperation for septal myectomy.


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