| Clinical problem-solving: aneurysm or spinal arteriovenous fistula-bait and switch. | |
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MedLine Citation:
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PMID: 21311283 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The authors use an instructive case to review the challenges of diagnosis in subarachnoid hemorrhage (SAH) and to reinforce the nuances of clinical management. IMPORTANCE: The presented case highlights critical issues in patient selection and challenges in the diagnosis of SAH and the management of both aneurysmal and arteriovenous fistula-related SAH. The critical points in decision making and diagnosis are discussed, and the case is accompanied by a brief review of the literature on the issues being faced. CLINICAL PRESENTATION: The present case is a patient presenting with SAH who was found to have an anterior communicating artery aneurysm. However, clues in the presentation and workup point to another etiology. CONCLUSION: A strong history of sudden neck pain before headache and abundance of SAH along the brainstem mandates a need to thoroughly evaluate the source of hemorrhage from cervical vessels through an angiogram. |
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Authors:
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Jeffrey F Lastfogel; Bernard R Bendok; Nicholas M Boulis; Aaron A Cohen-Gadol |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurosurgery Volume: 68 ISSN: 1524-4040 ISO Abbreviation: Neurosurgery Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-11 Completed Date: 2011-06-17 Revised Date: 2011-09-20 |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: United States |
Other Details:
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Languages: eng Pagination: E866-73 Citation Subset: IM |
Affiliation:
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Goodman Campbell Brain and Spine, and Indiana University Department of Neurological Surgery, Indianapolis, Indiana 46202, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Central Nervous System Vascular Malformations
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diagnosis*,
surgery* Diagnosis, Differential Humans Male Middle Aged Spinal Cord / abnormalities*, blood supply, surgery* Subarachnoid Hemorrhage / diagnosis*, surgery* Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Neurosurgery. 2011 Sep;69(3):E787-8; author reply E788
[PMID:
21623243
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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