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Acute Subarachnoid Hemorrhage
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Available online at www.sciencedirect.com
Visual Journal of Emergency Medicine 2C (2016) 45–46 www.elsevier.com/locate/visj
Acute Subarachnoid Hemorrhage Mark Saks, MD, MPHn, Ellie Salinski, MD Department of Emergency Medicine, Crozer Chester Medical Center, Upland, PA 19013
Keywords: subarachnoid hemorrhage; intracranial hemorrhage; stroke; headache
Fig. Non-contrast computed tomography of the head.
n
Corresponding author. E-mail address: [email protected] (M. Saks).
http://dx.doi.org/10.1016/j.visj.2015.09.001 2405-4690/& 2016 Elsevier Inc. All rights reserved.
46
M. Saks, E. Salinski / Visual Journal of Emergency Medicine 2C (2016) 45–46
Visual Case Disscussion This is a 61-year-old female with a history of migraines (Fig.) who presents with complaints of a right sided temporal headache that feels similar to her prior migraines but “worse.” The patient was noted to be hypertensive, but the remainder of the vital signs were normal. The patient appeared uncomfortable and was sitting still in bed with the lights off and her eyes closed. Physical examination was significant for photophobia and discomfort with movement of her head, but was otherwise unremarkable. A CT scan was performed. Appendix. Supplementary Materials Supplementary material cited in this article is available online at http://dx.doi.org/10.1016/j.visj.2015.09.001.
References [1] Connolly ES, Rabinstein AA, Carhaupoma RJ, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage. Stroke 2012;43 (6)1711–37. [2] Backes D, Rinkel GJ, Kemperman H, Linn FH, Vergouwen MD. Time-dependent test characteristics of head computed tomography in patients suspected of nontraumatic subarachnoid hemorrhage. Stroke 2012;43(8)2115–9. [3] Stewart H, Reuben A, Mcdonald J. LP or not LP, that is the question: gold standard or unnecessary procedure in subarachnoid haemorrhage? Emerg Med J 2014;31(9)720–3.
Available online at www.sciencedirect.com
Visual Journal of Emergency Medicine 2C (2016) 45–46 www.elsevier.com/locate/visj
Acute Subarachnoid Hemorrhage Mark Saks, MD, MPHn, Ellie Salinski, MD Department of Emergency Medicine, Crozer Chester Medical Center, Upland, PA 19013
Keywords: subarachnoid hemorrhage; intracranial hemorrhage; stroke; headache
Fig. Non-contrast computed tomography of the head.
n
Corresponding author. E-mail address: [email protected] (M. Saks).
http://dx.doi.org/10.1016/j.visj.2015.09.001 2405-4690/& 2016 Elsevier Inc. All rights reserved.
46
M. Saks, E. Salinski / Visual Journal of Emergency Medicine 2C (2016) 45–46
Visual Case Disscussion This is a 61-year-old female with a history of migraines (Fig.) who presents with complaints of a right sided temporal headache that feels similar to her prior migraines but “worse.” The patient was noted to be hypertensive, but the remainder of the vital signs were normal. The patient appeared uncomfortable and was sitting still in bed with the lights off and her eyes closed. Physical examination was significant for photophobia and discomfort with movement of her head, but was otherwise unremarkable. A CT scan was performed. Appendix. Supplementary Materials Supplementary material cited in this article is available online at http://dx.doi.org/10.1016/j.visj.2015.09.001.
References [1] Connolly ES, Rabinstein AA, Carhaupoma RJ, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage. Stroke 2012;43 (6)1711–37. [2] Backes D, Rinkel GJ, Kemperman H, Linn FH, Vergouwen MD. Time-dependent test characteristics of head computed tomography in patients suspected of nontraumatic subarachnoid hemorrhage. Stroke 2012;43(8)2115–9. [3] Stewart H, Reuben A, Mcdonald J. LP or not LP, that is the question: gold standard or unnecessary procedure in subarachnoid haemorrhage? Emerg Med J 2014;31(9)720–3.