■大量外伤性蛛网膜下腔出血(tSAH)是一种罕见但可能危及生命的疾病,可以模仿动脉瘤性蛛网膜下腔出血(aSAH)的临床表现。这两个实体之间的准确区分至关重要,因为他们的管理和预测有很大不同。
■我们介绍了一例64岁的男性患者,该患者在发生机动车碰撞后向我们的急诊科就诊。他在计算机断层扫描(CT)扫描上的放射学发现暗示了aSAH的位置,在双侧裂隙和基底池显示大量SAH。没有血管痉挛的证据。尽管使用了尼莫地平,患者后来还是出现了中风。
■虽然模仿动脉瘤性蛛网膜下腔出血的创伤性蛛网膜下腔出血是一种公认的现象,这是相对罕见的。我们提出了一个由卒中并发的大量tSAH的病例,在脑血管造影上没有动脉瘤的证据。阐明在区分tSAH和aSAH方面的诊断挑战,并强调准确诊断对适当管理的重要性,此外,我们的目的是提醒读者,创伤可能是导致大量SAH的原因,并应促使制定一项医学SAH治疗计划.
UNASSIGNED: Massive traumatic subarachnoid hemorrhage (
tSAH) is a rare but potentially life-threatening condition that can mimic the clinical presentation of aneurysmal subarachnoid hemorrhage (aSAH). The accurate differentiation between these two entities is crucial, as their management and prognoses significantly differ.
UNASSIGNED: We present a case of a 64-year-old male patient who presented to our emergency department after being involved in a motor vehicle collision. His radiological findings on a computed tomography (CT) scan were suggestive of aSAH based on its location, which showed massive SAH in bilateral sylvian fissures and the basal cisterns. There was no evidence of vasospasm. The patient later developed a stroke despite the use of Nimodipine.
UNASSIGNED: While traumatic subarachnoid hemorrhage mimicking aneurysmal subarachnoid hemorrhage is a recognized phenomenon, it is relatively uncommon. We present a case of massive
tSAH complicated by a stroke with no evidence of aneurysm on cerebral angiogram, shedding light on the diagnostic challenges in differentiating
tSAH from aSAH and emphasizing the importance of accurate diagnosis for appropriate management, in addition, we aim to remind the readers that trauma may be a cause for massive SAH and should prompt a medical SAH management plan.