Subarachnoid hemorrhage presenting as TIA in the MCA territory
A 71-year-old woman treated with Lisinopril for HBP, was brought to our department for right-sided paresthesias, dysarthria and right-sided motor deficits. Onset of symptoms was sudden, about one hour prior to hospitalization. However, at the time of presentation, they were partially ameliorated. Cl...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Amaltea Medical Publishing House
2018-06-01
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| Series: | Romanian Journal of Neurology |
| Subjects: | |
| Online Access: | https://rjn.com.ro/articles/2018.2/RJN_2018_2_Art-09.pdf |
| _version_ | 1811208605475536896 |
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| author | Ioan-Cristian Lupescu Mirela Draghici Ioana Gabriela Lupescu Adriana Octaviana Dulamea |
| author_facet | Ioan-Cristian Lupescu Mirela Draghici Ioana Gabriela Lupescu Adriana Octaviana Dulamea |
| author_sort | Ioan-Cristian Lupescu |
| collection | DOAJ |
| description | A 71-year-old woman treated with Lisinopril for HBP, was brought to our department for right-sided paresthesias, dysarthria and right-sided motor deficits. Onset of symptoms was sudden, about one hour prior to hospitalization. However, at the time of presentation, they were partially ameliorated. Clinical exam revealed right hemiparesis 4/5 MRC, right central facial palsy, BP of 150/80 mmHg and HR of 78/min rhythmic. The patient presented similar transient episodes of right-sided paresthesias and dysarthria during the last month, but without addressing to a medical department. Medical exam and history pointed to a TIA in the left MCA territory. However, CT scan revealed a small intergyral left fronto-parietal subarachnoid hemorrhage. When asked, the patient denied any headache, nausea/vomiting, altered consciousness or recent history of head trauma, while clinical exam revealed no meningism. The patient was then transferred urgently to a Neurosurgery Department. |
| first_indexed | 2024-04-12T04:24:28Z |
| format | Article |
| id | doaj.art-538ada59419049fc91992650b2f409f5 |
| institution | Directory Open Access Journal |
| issn | 1843-8148 2069-6094 |
| language | English |
| last_indexed | 2024-04-12T04:24:28Z |
| publishDate | 2018-06-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Neurology |
| spelling | doaj.art-538ada59419049fc91992650b2f409f52022-12-22T03:48:08ZengAmaltea Medical Publishing HouseRomanian Journal of Neurology1843-81482069-60942018-06-0117211011210.37897/RJN.2018.2.9Subarachnoid hemorrhage presenting as TIA in the MCA territoryIoan-Cristian Lupescu0Mirela Draghici1Ioana Gabriela Lupescu2Adriana Octaviana Dulamea3Neurology Department, Fundeni Clinical Institute, Bucharest, RomaniaNeurology Department, Fundeni Clinical Institute, Bucharest, RomaniaRadiology and Medical Imaging Department, Fundeni Clinical Institute, Bucharest, Romania; “Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaNeurology Department, Fundeni Clinical Institute, Bucharest, Romania; “Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaA 71-year-old woman treated with Lisinopril for HBP, was brought to our department for right-sided paresthesias, dysarthria and right-sided motor deficits. Onset of symptoms was sudden, about one hour prior to hospitalization. However, at the time of presentation, they were partially ameliorated. Clinical exam revealed right hemiparesis 4/5 MRC, right central facial palsy, BP of 150/80 mmHg and HR of 78/min rhythmic. The patient presented similar transient episodes of right-sided paresthesias and dysarthria during the last month, but without addressing to a medical department. Medical exam and history pointed to a TIA in the left MCA territory. However, CT scan revealed a small intergyral left fronto-parietal subarachnoid hemorrhage. When asked, the patient denied any headache, nausea/vomiting, altered consciousness or recent history of head trauma, while clinical exam revealed no meningism. The patient was then transferred urgently to a Neurosurgery Department.https://rjn.com.ro/articles/2018.2/RJN_2018_2_Art-09.pdfsubarachnoid hemorrhagehemiparesistia |
| spellingShingle | Ioan-Cristian Lupescu Mirela Draghici Ioana Gabriela Lupescu Adriana Octaviana Dulamea Subarachnoid hemorrhage presenting as TIA in the MCA territory Romanian Journal of Neurology subarachnoid hemorrhage hemiparesis tia |
| title | Subarachnoid hemorrhage presenting as TIA in the MCA territory |
| title_full | Subarachnoid hemorrhage presenting as TIA in the MCA territory |
| title_fullStr | Subarachnoid hemorrhage presenting as TIA in the MCA territory |
| title_full_unstemmed | Subarachnoid hemorrhage presenting as TIA in the MCA territory |
| title_short | Subarachnoid hemorrhage presenting as TIA in the MCA territory |
| title_sort | subarachnoid hemorrhage presenting as tia in the mca territory |
| topic | subarachnoid hemorrhage hemiparesis tia |
| url | https://rjn.com.ro/articles/2018.2/RJN_2018_2_Art-09.pdf |
| work_keys_str_mv | AT ioancristianlupescu subarachnoidhemorrhagepresentingastiainthemcaterritory AT mireladraghici subarachnoidhemorrhagepresentingastiainthemcaterritory AT ioanagabrielalupescu subarachnoidhemorrhagepresentingastiainthemcaterritory AT adrianaoctavianadulamea subarachnoidhemorrhagepresentingastiainthemcaterritory |