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Anoxic Brain Injury Presenting as Pseudosubarachnoid Hemorrhage in the Medical Intensive Care Unit
- Source :
- Case Reports in Critical Care, Case Reports in Critical Care, Vol 2017 (2017)
- Publication Year :
- 2017
- Publisher :
- Hindawi, 2017.
-
Abstract
- Anoxic encephalopathy is frequently encountered in the medical intensive care unit (ICU). Cerebral edema as a result of anoxic brain injury can result in increased attenuation in the basal cisterns and subarachnoid spaces on computerized tomography (CT) scans of the head. These findings can mimic those seen in acute subarachnoid hemorrhage (SAH) and are referred to as pseudosubarachnoid hemorrhage (pseudo-SAH). Pseudo-SAH is a diagnosis critical care physicians should be aware of as they treat and evaluate their patients with presumed SAH, which is a medical emergency. This lack of awareness could have important clinical implications on outcomes and impact management decisions if patients with anoxic brain injury are inappropriately treated for SAH. We describe three patients who presented to the hospital with anoxic brain injury. Subsequent CT head suggested SAH, which was subsequently proven to be pseudo-SAH.
- Subjects :
- medicine.medical_specialty
Subarachnoid hemorrhage
business.industry
lcsh:Medical emergencies. Critical care. Intensive care. First aid
Case Report
lcsh:RC86-88.9
Critical Care and Intensive Care Medicine
medicine.disease
030218 nuclear medicine & medical imaging
Cerebral edema
nervous system diseases
03 medical and health sciences
0302 clinical medicine
Medical intensive care unit
Emergency medicine
medicine
Anoxic encephalopathy
cardiovascular diseases
Intensive care medicine
business
Anoxic brain injury
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 20906439 and 20906420
- Volume :
- 2017
- Database :
- OpenAIRE
- Journal :
- Case Reports in Critical Care
- Accession number :
- edsair.doi.dedup.....feac71dad8bafe93fae64ee819db2144