Subarachnoid Hemorrhage: A Case Report
. Huldani *
Department of Physiology, Faculty of Medicine, Lambung Mangkurat University, Banjarmasin, Indonesia.
Herlina Uinarni
Department of Anatomy, School of Medicine and Health Sciences Atma Jaya Catholic University of Indonesia.
. Fauziah
Department of Clinical Clerkship, Faculty of Medicine, Lambung Mangkurat University, Banjarmasin, South Kalimantan, Indonesia.
San Gunma
Department of Medical Education, Faculty of Medicine, Lambung Mangkurat University, Banjarmasin, Indonesia.
Muhammad Zaini
Department of Medical Education, Faculty of Medicine, Lambung Mangkurat University, Banjarmasin, Indonesia.
*Author to whom correspondence should be addressed.
Abstract
We reported a case report of a 50-year-old woman with stroke hemorrhage due to subarachnoid hemorrhage with hypertensive urgency, left ventricular hypertrophy, and dyslipidemia. Subarachnoid hemorrhage indicates the presence of blood in the subarachnoid space between the pia mater and arachnoid mater which usually results from a ruptured cerebral aneurysm or arteriovenous malformation. The patient presents with decreased consciousness preceded by severe headache and projectile vomiting. In physical examination, we found hypertensive emergencies and positive meningeal signs, neck stiffness, and positive Brudzinski. CT scan shows bleeding in the pontocerebellar cistern and ventricular system. The patient was diagnosed with subarachnoid hemorrhage, intraventricular hemorrhage, and emergency hypertensive. The patient was hospitalized in the neurology ward of Ulin Hospital for 20 days with the management of antihypertensive, neuroprotectant, other symptomatic medications, and ventriculoperitoneal shunt surgery. The patient was then discharged home in a stable condition.
Keywords: Subarachnoid hemorrhage, head imaging, neurology, hemorrhagic stroke