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Case Report

A report of nontraumatic cortical subarachnoid hemorrhage and subsequent management

, &
Pages 231-235 | Received 10 Jul 2016, Accepted 29 Sep 2016, Published online: 21 Oct 2016
 

Abstract

Aim: Report a case of cortical subarachnoid hemorrhage (cSAH) and discuss its management. Patient & methods: A 66-year-old woman presents with acute onset left arm numbness and weakness. Initial head CT shows small hyperdensity in sulci typical for cSAH. Extensive workup with MRI, lumbar puncture and blood tests is performed. No signs of infection, vascular malformations, thrombosis or cancer are found. At outpatient follow-up, she is diagnosed with cSAH secondary to amyloid angiopathy. She is treated with gabapentin. Results & conclusion: Diagnosis of cSAH is challenging given its subtle findings, and management is empiric as there are only a few case series in literature.

Author contributions

DQ Mao drafted/revised this manuscript. D Addess drafted this manuscript. H Valsamis reviewed relevant studies and supervised clinical care.

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.

Ethical conduct of research

Standard protocol approvals, registrations and patient consents. Scope and nature of the report was discussed with the patient. No identifying information was used. Signed consent was obtained from the patient. The authors state that they have obtained appropriate institutional review board approval or have followed the principles outlined in the Declaration of Helsinki for all human or animal experimental investigations. In addition, for investigations involving human subjects, informed consent has been obtained from the participants involved.