A ruptured aneurysmal subarachnoid hemorrhage and vasospasm initially manifesting as acute ischemic stroke: a case report
Background Most aneurysmal subarachnoid hemorrhages (SAHs) are accompanied by focal neurological deficits caused by a thunderclap headache. The neurological symptoms of aneurysmal SAH rarely present as vasospasm-induced cerebral ischemia. Case Report A 51-year-old male presented to the emergency dep...
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| Language: | English |
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The Korean Neurocritical Care Society
2024-12-01
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| Series: | Journal of Neurocritical Care |
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| Online Access: | http://e-jnc.org/upload/pdf/jnc-240026.pdf |
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| author | Joongwon Park Wonseok Jeon Junho Choi Chulho Kim |
| author_facet | Joongwon Park Wonseok Jeon Junho Choi Chulho Kim |
| author_sort | Joongwon Park |
| collection | DOAJ |
| description | Background Most aneurysmal subarachnoid hemorrhages (SAHs) are accompanied by focal neurological deficits caused by a thunderclap headache. The neurological symptoms of aneurysmal SAH rarely present as vasospasm-induced cerebral ischemia. Case Report A 51-year-old male presented to the emergency department with weakness in the left upper and lower limbs combined with dysarthria, which developed on the day of admission. An initial brain computed tomography scan revealed no clear signs of hemorrhage. However, the patient’s age (51 years) and history of thunderclap headache prompted further evaluation. Finally, the patient was diagnosed with vasospasm-induced ischemic stroke, caused by a ruptured cerebral aneurysm. Conclusion For patients with abrupt focal neurological deficits and severe thunderclap headaches, further consideration of aneurysmal rupture and the resulting vasospasm-induced cerebral ischemia may prevent the worst complications of stroke due to misdiagnosis. |
| format | Article |
| id | doaj-art-73ea71a70db748d4b6b6626b4af41a73 |
| institution | Kabale University |
| issn | 2005-0348 2508-1349 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | The Korean Neurocritical Care Society |
| record_format | Article |
| series | Journal of Neurocritical Care |
| spelling | doaj-art-73ea71a70db748d4b6b6626b4af41a732024-12-31T07:03:16ZengThe Korean Neurocritical Care SocietyJournal of Neurocritical Care2005-03482508-13492024-12-01172757810.18700/jnc.240026417A ruptured aneurysmal subarachnoid hemorrhage and vasospasm initially manifesting as acute ischemic stroke: a case reportJoongwon Park0Wonseok Jeon1Junho Choi2Chulho Kim Department of Neurology, Hallym University College of Medicine, Chuncheon, Korea Department of Neurology, Hallym University College of Medicine, Chuncheon, Korea Department of Neurology, Hallym University College of Medicine, Chuncheon, KoreaBackground Most aneurysmal subarachnoid hemorrhages (SAHs) are accompanied by focal neurological deficits caused by a thunderclap headache. The neurological symptoms of aneurysmal SAH rarely present as vasospasm-induced cerebral ischemia. Case Report A 51-year-old male presented to the emergency department with weakness in the left upper and lower limbs combined with dysarthria, which developed on the day of admission. An initial brain computed tomography scan revealed no clear signs of hemorrhage. However, the patient’s age (51 years) and history of thunderclap headache prompted further evaluation. Finally, the patient was diagnosed with vasospasm-induced ischemic stroke, caused by a ruptured cerebral aneurysm. Conclusion For patients with abrupt focal neurological deficits and severe thunderclap headaches, further consideration of aneurysmal rupture and the resulting vasospasm-induced cerebral ischemia may prevent the worst complications of stroke due to misdiagnosis.http://e-jnc.org/upload/pdf/jnc-240026.pdfcerebral aneurysmintracranial vasospasmischemic strokecase report |
| spellingShingle | Joongwon Park Wonseok Jeon Junho Choi Chulho Kim A ruptured aneurysmal subarachnoid hemorrhage and vasospasm initially manifesting as acute ischemic stroke: a case report Journal of Neurocritical Care cerebral aneurysm intracranial vasospasm ischemic stroke case report |
| title | A ruptured aneurysmal subarachnoid hemorrhage and vasospasm initially manifesting as acute ischemic stroke: a case report |
| title_full | A ruptured aneurysmal subarachnoid hemorrhage and vasospasm initially manifesting as acute ischemic stroke: a case report |
| title_fullStr | A ruptured aneurysmal subarachnoid hemorrhage and vasospasm initially manifesting as acute ischemic stroke: a case report |
| title_full_unstemmed | A ruptured aneurysmal subarachnoid hemorrhage and vasospasm initially manifesting as acute ischemic stroke: a case report |
| title_short | A ruptured aneurysmal subarachnoid hemorrhage and vasospasm initially manifesting as acute ischemic stroke: a case report |
| title_sort | ruptured aneurysmal subarachnoid hemorrhage and vasospasm initially manifesting as acute ischemic stroke a case report |
| topic | cerebral aneurysm intracranial vasospasm ischemic stroke case report |
| url | http://e-jnc.org/upload/pdf/jnc-240026.pdf |
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