| Ultra-Early Aneurysmal Rebleeding and Brainstem Destruction. | |
| | |
MedLine Citation:
|
PMID: 22045249 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Early secondary neurologic deterioration after aneurysmal subarachnoid hemorrhage (SAH) may have many causes including rebleeding, hydrocephalus, parenchymal hematoma, or seizures. METHODS: Case report. RESULTS: A 69-year-old woman presented with thunderclap headache and nausea. A head computed tomography (CT) showed SAH. On initial evaluation she was awake, alert, and confused without focal neurologic deficits. Two episodes of marked clinical deterioration occurred, manifesting as acute unresponsiveness and fixed anisocoria. Serial head CTs showed massive extension of hemorrhage into the brainstem parenchyma and ventricles. CONCLUSIONS: Sudden clinical deterioration after SAH with coma and a fixed "blown" pupil may result from hemorrhage extension into the brainstem parenchyma rather than oculomotor nerve injury from compression or stretch. |
| | |
Authors:
|
Jennifer E Fugate; Grant W Mallory; Eelco F M Wijdicks |
Related Documents
:
|
9282159 - The radiographic prevalence of hilar and mediastinal adenopathy in adult cystic fibrosis. 20541679 - Melanoma staging: facts and controversies. 20489069 - Diagnostic accuracy of nodal enhancement pattern of rectal cancer at mri enhanced with ... 2025499 - New trends in computed tomography of the head and neck. 19194709 - Staging of endometrial cancer with mri: guidelines of the european society of urogenita... 18258399 - Leiomyosarcoma of the hypopharynx: a case report. 9090399 - Effect of degeneration of the intervertebral disk on the process of diffusion. 8025939 - Local thrombolytic therapy in superior vena cava syndrome secondary to malignant thymom... 7647569 - Role of octreoscan and correlation with mr imaging in graves' ophthalmopathy. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-11-2 |
Journal Detail:
|
Title: Neurocritical care Volume: - ISSN: 1556-0961 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
|
Created Date: 2011-11-2 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101156086 Medline TA: Neurocrit Care Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Division of Critical Care Neurology, Mayo Clinic, Rochester, MN, 55905, USA, fugate.jennifer@mayo.edu. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Strategies to Decrease the Risk of Ventricular Catheter Infections: A Review of the Evidence.
Next Document: Zwitterionic sulfobetaine lipids that form vesicles with salt-dependent thermotropic properties.