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Published in: BMC Neurology 1/2017

Open Access 01-12-2017 | Case report

Isolated non-traumatic, non-aneurysmal convexal subarachnoid hemorrhage in a patient with Evans syndrome

Authors: Anna Misyail Abdul Rashid, Mohamad Syafeeq Faeez Md Noh

Published in: BMC Neurology | Issue 1/2017

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Abstract

Background

Non-traumatic, spontaneous subarachnoid hemorrhage occurs in approximately 85% of cases where there is a ruptured saccular aneurysm. An additional 10% of cases arise from non-aneurysmal peri-mesencephalic hemorrhages.

Case presentation

We report a rare case of a young female, with underlying Evans syndrome, who was initially thought to have non-hemorrhagic stroke, eventually diagnosed having isolated non-traumatic, non-aneurysmal convexal subarachnoid haemorrhage.

Conclusions

Spontaneous non-traumatic, non-aneurysmal convexal subarachnoid hemorrhage is a rare entity - of which there are multiple possible etiologies.
Literature
1.
go back to reference Marder CP, Narla V, Fink JR, et al. Subarachnoid haemorrhage: beyond aneurysms. AJR. 2014;202:25–37.CrossRefPubMed Marder CP, Narla V, Fink JR, et al. Subarachnoid haemorrhage: beyond aneurysms. AJR. 2014;202:25–37.CrossRefPubMed
2.
go back to reference Cuvinciuc V, Viguier A, Calviere L, et al. Isolated acute nontraumatic cortical subarachnoid haemorrhage. Am J Neuroradiol. 2010;31:1355–62.CrossRefPubMed Cuvinciuc V, Viguier A, Calviere L, et al. Isolated acute nontraumatic cortical subarachnoid haemorrhage. Am J Neuroradiol. 2010;31:1355–62.CrossRefPubMed
3.
go back to reference Michel M, Chanet V, Dechartres A, et al. The spectrum of Evans syndrome in adults: new insight into the disease based on the analysis of 68 cases. Blood. 2009; Michel M, Chanet V, Dechartres A, et al. The spectrum of Evans syndrome in adults: new insight into the disease based on the analysis of 68 cases. Blood. 2009;
4.
go back to reference Kumar S, Goddeau RP, Selim MH, et al. Atraumatic convexal subarachnoid haemorrhage. Neurology 2010. Kumar S, Goddeau RP, Selim MH, et al. Atraumatic convexal subarachnoid haemorrhage. Neurology 2010.
5.
go back to reference Neunert CE. Individualized treatment for immune thrombocytopenia: predicting bleeding risk. Semin Hematol. 2013;50:S55–7.CrossRefPubMed Neunert CE. Individualized treatment for immune thrombocytopenia: predicting bleeding risk. Semin Hematol. 2013;50:S55–7.CrossRefPubMed
6.
go back to reference Rossi CM, Di Comite G. The clinical spectrum of the neurological involvement in vasculitides. J Neurol Sci. 2009;285:13–21.CrossRefPubMed Rossi CM, Di Comite G. The clinical spectrum of the neurological involvement in vasculitides. J Neurol Sci. 2009;285:13–21.CrossRefPubMed
7.
go back to reference Okahara M, Kiyosue H, Yamashita M, et al. Diagnostic accuracy of magnetic resonance angiography for cerebral aneurysms in correlation with 3D-digital subtraction angiographic images, a study of 133 aneurysms. Stroke. 2002;33:1803–8.CrossRefPubMed Okahara M, Kiyosue H, Yamashita M, et al. Diagnostic accuracy of magnetic resonance angiography for cerebral aneurysms in correlation with 3D-digital subtraction angiographic images, a study of 133 aneurysms. Stroke. 2002;33:1803–8.CrossRefPubMed
Metadata
Title
Isolated non-traumatic, non-aneurysmal convexal subarachnoid hemorrhage in a patient with Evans syndrome
Authors
Anna Misyail Abdul Rashid
Mohamad Syafeeq Faeez Md Noh
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2017
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-017-0944-9

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