Development of pseudo-subarachnoid hemorrhage secondary to hypoxic-ischemic injury due to bleeding pulmonary artery-venous malformation
Background: The computed tomography (CT) finding of a pseudo-subarachnoid hemorrhage (SAH) may lead the treating physician into a diagnostic dilemma. We present a case of a pseudo-SAH in a patient with post-resuscitative encephalopathy, secondary to a newly diagnosed bleeding pulmonary arterio-venou...
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| Format: | Article |
| Language: | English |
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BioMed Central
2018
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| Online Access: | http://psasir.upm.edu.my/id/eprint/72270/ http://psasir.upm.edu.my/id/eprint/72270/1/Development%20of%20pseudo-subarachnoid.pdf |
| _version_ | 1848857078246932480 |
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| author | Md Noh, Mohamad Syafeeq Faeez Abdul Rashid, Anna Misya'il |
| author_facet | Md Noh, Mohamad Syafeeq Faeez Abdul Rashid, Anna Misya'il |
| author_sort | Md Noh, Mohamad Syafeeq Faeez |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Background: The computed tomography (CT) finding of a pseudo-subarachnoid hemorrhage (SAH) may lead the treating physician into a diagnostic dilemma. We present a case of a pseudo-SAH in a patient with post-resuscitative encephalopathy, secondary to a newly diagnosed bleeding pulmonary arterio-venous malformation (AVM).
Case presentation: A 19-year-old female presented acutely with massive hemoptysis. Cardiopulmonary resuscitation (CPR) followed, and the patient was subsequently intubated for airway protection with intensive care unit (ICU) admission. Urgent CT angiography of the thorax showed a bleeding pulmonary AVM, with evidence of hemothorax. Non-contrasted cranial CT initially revealed cerebral edema. Day 3 post admission, repeat cranial CT showed worsening cerebral edema, with evidence of pseudo-SAH. Patient passed away the next day. Conclusions: Pseudo-SAH, if present, carries a poor prognosis. It should be recognized as a potential CT finding in patients with severe cerebral edema, due to various causes. The diagnosis is vital, to avoid wrongful treatment institution, as well as determination of cause of death. |
| first_indexed | 2025-11-15T11:51:50Z |
| format | Article |
| id | upm-72270 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T11:51:50Z |
| publishDate | 2018 |
| publisher | BioMed Central |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-722702020-04-28T04:25:47Z http://psasir.upm.edu.my/id/eprint/72270/ Development of pseudo-subarachnoid hemorrhage secondary to hypoxic-ischemic injury due to bleeding pulmonary artery-venous malformation Md Noh, Mohamad Syafeeq Faeez Abdul Rashid, Anna Misya'il Background: The computed tomography (CT) finding of a pseudo-subarachnoid hemorrhage (SAH) may lead the treating physician into a diagnostic dilemma. We present a case of a pseudo-SAH in a patient with post-resuscitative encephalopathy, secondary to a newly diagnosed bleeding pulmonary arterio-venous malformation (AVM). Case presentation: A 19-year-old female presented acutely with massive hemoptysis. Cardiopulmonary resuscitation (CPR) followed, and the patient was subsequently intubated for airway protection with intensive care unit (ICU) admission. Urgent CT angiography of the thorax showed a bleeding pulmonary AVM, with evidence of hemothorax. Non-contrasted cranial CT initially revealed cerebral edema. Day 3 post admission, repeat cranial CT showed worsening cerebral edema, with evidence of pseudo-SAH. Patient passed away the next day. Conclusions: Pseudo-SAH, if present, carries a poor prognosis. It should be recognized as a potential CT finding in patients with severe cerebral edema, due to various causes. The diagnosis is vital, to avoid wrongful treatment institution, as well as determination of cause of death. BioMed Central 2018 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/72270/1/Development%20of%20pseudo-subarachnoid.pdf Md Noh, Mohamad Syafeeq Faeez and Abdul Rashid, Anna Misya'il (2018) Development of pseudo-subarachnoid hemorrhage secondary to hypoxic-ischemic injury due to bleeding pulmonary artery-venous malformation. BMC Neurology, 18. art. no. 157. pp. 1-3. ISSN 1471-2377 https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-018-1161-x 10.1186/s12883-018-1161-x |
| spellingShingle | Md Noh, Mohamad Syafeeq Faeez Abdul Rashid, Anna Misya'il Development of pseudo-subarachnoid hemorrhage secondary to hypoxic-ischemic injury due to bleeding pulmonary artery-venous malformation |
| title | Development of pseudo-subarachnoid hemorrhage secondary to hypoxic-ischemic injury due to bleeding pulmonary artery-venous malformation |
| title_full | Development of pseudo-subarachnoid hemorrhage secondary to hypoxic-ischemic injury due to bleeding pulmonary artery-venous malformation |
| title_fullStr | Development of pseudo-subarachnoid hemorrhage secondary to hypoxic-ischemic injury due to bleeding pulmonary artery-venous malformation |
| title_full_unstemmed | Development of pseudo-subarachnoid hemorrhage secondary to hypoxic-ischemic injury due to bleeding pulmonary artery-venous malformation |
| title_short | Development of pseudo-subarachnoid hemorrhage secondary to hypoxic-ischemic injury due to bleeding pulmonary artery-venous malformation |
| title_sort | development of pseudo-subarachnoid hemorrhage secondary to hypoxic-ischemic injury due to bleeding pulmonary artery-venous malformation |
| url | http://psasir.upm.edu.my/id/eprint/72270/ http://psasir.upm.edu.my/id/eprint/72270/ http://psasir.upm.edu.my/id/eprint/72270/ http://psasir.upm.edu.my/id/eprint/72270/1/Development%20of%20pseudo-subarachnoid.pdf |