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Intensive Care Medicine
Published in: Intensive Care Medicine 11/2007

01-11-2007 | Correspondence

Pseudosubarachnoid haemorrhage on CT brain scan: An unusual presentation of diffuse hypoxic brain injury

Authors: Gareth L. Thomas, Edward R. Stachowski

Published in: Intensive Care Medicine | Issue 11/2007

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Excerpt

Sir: A 43-year-old woman had a witnessed tonic-clonic seizure out of hospital. Upon arrival of paramedic services, she had a Glasgow Coma Score (GCS) of 3/15, weak central pulses of rate 30/min, and respiratory rate of 8/min with peripheral oxygen saturation of 83%. She was intubated at the scene and given atropine and adrenaline boluses to maintain cardiac output. …
Literature
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Spiegel SM, Fox AJ, Vinuela F, Pelz DM (1986) Increased density of tentorium and falx: a false positive CT sign of subarachnoid hemorrhage. Can Assoc Radiol J 37:243–247PubMed
2.
Opeskin K, Silberstein M (1988) False positive diagnosis of subarachnoid haemorrhage on computed tomography scan. J Clin Neurosci 5:382–386CrossRef
3.
al Yamany M, Deck J, Bernstein M (1999) Pseudo-subarachnoid hemorrhage: a rare neuroimaging pitfall. Can J Neurol Sci 26:57–59
4.
Phan TG, Wijdicks EF, Worrell GA, Fulgham JR (2000) False subarachnoid hemorrhage in anoxic encephalopathy with brain swelling. J Neuroimaging 10:236–238PubMed
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Chatterjee T, Gowardman JR, Goh TD (2003) Pneumococcal meningitis masquerading as subarachnoid haemorrhage. Med J Aust 178:505–507PubMed
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Rabinstein AA, Pittock SJ, Miller GM, Schindler JJ, Wijdicks EF (2003) Pseudosubarachnoid haemorrhage in subdural haematoma. J Neurol Neurosurg Psychiatry 74:1131–1132PubMedCrossRef
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Schievink WI, Maya MM, Tourje J, Moser FG (2005) Pseudo-subarachnoid hemorrhage: a CT finding in spontaneous intracranial hypotension. Neurology 65:135–137PubMedCrossRef
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Given CA, Burdette JH, Elster AD, Williams DW III (2003) Pseudo-subarachnoid hemorrhage: a potential imaging pitfall associated with diffuse cerebral edema. Am J Neuroradiol 24:254–256PubMed
Metadata
Title
Pseudosubarachnoid haemorrhage on CT brain scan: An unusual presentation of diffuse hypoxic brain injury
Authors
Gareth L. Thomas
Edward R. Stachowski
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 11/2007
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-007-0720-1

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