Pseudo-subarachnoid Hemorrhage: a Rare Neuroimaging Pitfall

Pseudo-subarachnoid Hemorrhage: a Rare Neuroimaging Pitfall
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假性蛛网膜下腔出血:罕见的神经影像学陷阱

DOI:
10.1017/s0317167100053713
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发表时间:
1999
期刊:
Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques
影响因子:
--
通讯作者:
Mark Bernstein
Mark Bernstein
中科院分区:
--
文献类型:
--
作者:
Mahmoud Al;John H. N. Deck;Mark Bernstein

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文摘:
Abstract: Objective: We report an unusual case of the CT appearance of diffuse subarachnoid hemorrhage in a patient with anoxic encephalopathy, a situation which neurosurgeons, neurologists, and neuroradiologists should be aware of. Clinical presentation: A young man collapsed unconscious in jail after abusing an unknown quantity and variety of drugs. CT scan showed a picture compatible with diffuse subarachnoid hemorrhage. Intervention: As the patient had a Glasgow Coma Score of 3 no heroic intervention was undertaken. An autopsy performed 40 hours after the initial ictus and 24 hours after death revealed no evidence of subarachnoid hemorrhage but gross and microscopic evidence of anoxic encephalopathy. Conclusion: Anoxic encephalopathy can mimic diffuse subarachnoid hemorrhage on CT.