Dyskinesia as a unique presentation of subarachnoid hemorrhage: a case report
Abstract Background Subarachnoid hemorrhage (SAH) is a diagnosis that emergency physicians must have a high index of suspicion for. Many common chief complaints such as headache, nausea, altered mental status, and even syncope may alert clinicians to the possibility of a SAH. Case presentation The a...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | International Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12245-023-00476-2 |
| _version_ | 1828069766980435968 |
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| author | Aleq Jaffery Herman Morchel Jessica Poon |
| author_facet | Aleq Jaffery Herman Morchel Jessica Poon |
| author_sort | Aleq Jaffery |
| collection | DOAJ |
| description | Abstract Background Subarachnoid hemorrhage (SAH) is a diagnosis that emergency physicians must have a high index of suspicion for. Many common chief complaints such as headache, nausea, altered mental status, and even syncope may alert clinicians to the possibility of a SAH. Case presentation The authors present an unusual case of SAH in a patient presenting with acute dyskinesia and altered mental status, which has seldom been documented as the presenting feature of SAH, as well as the diagnostic pitfalls encountered in assessing this patient. Conclusion Emergency physicians should maintain a high index of suspicion for dangerous pathology in cases without a clear etiology; they should also utilize metacognition to assess their own biases and thought patterns so as to avoid missing critical diagnoses. |
| first_indexed | 2024-04-11T00:25:26Z |
| format | Article |
| id | doaj.art-be872472cb6c4b2880f80686b42a6556 |
| institution | Directory Open Access Journal |
| issn | 1865-1380 |
| language | English |
| last_indexed | 2024-04-11T00:25:26Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Emergency Medicine |
| spelling | doaj.art-be872472cb6c4b2880f80686b42a65562023-01-08T12:04:09ZengBMCInternational Journal of Emergency Medicine1865-13802023-01-011611410.1186/s12245-023-00476-2Dyskinesia as a unique presentation of subarachnoid hemorrhage: a case reportAleq Jaffery0Herman Morchel1Jessica Poon2Department of Emergency Medicine, Hackensack University Medical CenterHackensack Meridian School of MedicineDepartment of Emergency Medicine, Hackensack University Medical CenterAbstract Background Subarachnoid hemorrhage (SAH) is a diagnosis that emergency physicians must have a high index of suspicion for. Many common chief complaints such as headache, nausea, altered mental status, and even syncope may alert clinicians to the possibility of a SAH. Case presentation The authors present an unusual case of SAH in a patient presenting with acute dyskinesia and altered mental status, which has seldom been documented as the presenting feature of SAH, as well as the diagnostic pitfalls encountered in assessing this patient. Conclusion Emergency physicians should maintain a high index of suspicion for dangerous pathology in cases without a clear etiology; they should also utilize metacognition to assess their own biases and thought patterns so as to avoid missing critical diagnoses.https://doi.org/10.1186/s12245-023-00476-2Diagnostic errorHeuristicsSubarachnoid hemorrhageMetacognitionCase report |
| spellingShingle | Aleq Jaffery Herman Morchel Jessica Poon Dyskinesia as a unique presentation of subarachnoid hemorrhage: a case report International Journal of Emergency Medicine Diagnostic error Heuristics Subarachnoid hemorrhage Metacognition Case report |
| title | Dyskinesia as a unique presentation of subarachnoid hemorrhage: a case report |
| title_full | Dyskinesia as a unique presentation of subarachnoid hemorrhage: a case report |
| title_fullStr | Dyskinesia as a unique presentation of subarachnoid hemorrhage: a case report |
| title_full_unstemmed | Dyskinesia as a unique presentation of subarachnoid hemorrhage: a case report |
| title_short | Dyskinesia as a unique presentation of subarachnoid hemorrhage: a case report |
| title_sort | dyskinesia as a unique presentation of subarachnoid hemorrhage a case report |
| topic | Diagnostic error Heuristics Subarachnoid hemorrhage Metacognition Case report |
| url | https://doi.org/10.1186/s12245-023-00476-2 |
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