Hemiparesis Due to Subarachnoid Hemorrhage
Journal Title: Scholars Journal of Medical Case Reports - Year 2016, Vol 4, Issue 5
Abstract
An 85-year-old female was found in coma state in a toilet at a public spa area. Her Glasgow Coma Scale in total was 6 and she had isocoric reactive pupil. She had right hemiparesis. The CT examination demonstrated a subarachnoid hemorrhage. Especially subarahnoid hemorrhage at left silvian fissure was thicker than that of right, but no formation of hematoma. The CT angiography revealed a cerebral aneurysm at left internal carotid-posterior communicating artery junction. It was approximately 4 mm in size. She underwent an aneurysmal neck clipping. She complicated cerebral infarction at left putamen and internal capsule due to vasospasm, and right hemiparesis did not improve. Immediate transient vasospastic changes following a hemodynamic insufficient blood supply may have caused the hemiparesis in this case. Some patients with subarachnoid hemorrhage may demonstrate neurological deficits, like those occurring during an ischemic stroke or intracerebral hematoma, so physicians should pay attention to treat such patients gently to avoid the re-rupture of a cerebral aneurysm, especially if the patient has consciousness disturbance. Keywords: subarachnoid hemorrhage; neurological deficit; focal sign.
Authors and Affiliations
Youichi Yanagawa, Ikuto Takeuchi, Kei Jitsuiki, Kazuhiko Omori, Yasuaki Nakao, Takushi Yamamoto
Metachronous Pheochromocytoma in urinary bladder and adrenal
Pheochromocytomas and paragangliomas are chromaffin cell tumours that embryonically derive from the neural crest and functionally they produce store and secrete catecholamines. While pheochromocytoma arises from the adre...
A case report: A patient suffering traumatic injury due to swerving to avoid hitting a deer
A 60-year-old male was driving a 650-cc motorcycle at 70 km/h, when a deer jumped into the road from a bush. He tried to swerve to avoid a collision and subsequently fell over, with his motorcycle running over him. On...
Lipoma of Parotid Gland: A Survey On Case Report and Literature
Abstract:Lipomas are common benign soft tissue neoplasms, however they are found seldom within the deep lobe of the parotid gland. Surgical intervention in parotid mass is difficult owing to the proximity of the facial n...
Rickets secondary to lamellar ichthyosis in two Indian male siblings in a family
We report two cases of rickets in male siblings of a family secondary to a disorder of skin keratinisation, lamellar ichthyosis. Nine years old male child presented with knock knee and generalised scaling of skin all ove...
Giant Juvenile Fibroadenoma in a Young Girl- A Rarity: Case Report
Juvenile fibro adenoma comprises about 4% of the total fibro adenomas. The incidence of giant juvenile fibro adenomas is merely 0.5% of all the fibro adenomas. Bilateral giant juvenile fibro adenomas are extremely rare....