Details

Autor(en) / Beteiligte

• Shea, Yat-Fung
• Tsang, Hoi-Lun Helen
• Yap, Yat-Hin Desmond
• Li, Lai-Fung
• Ho, Wai-Shing Wilson

Titel

A ＂tricky＂ subarachnoid hemorrhage

Ist Teil von

• Chinese medical journal, 2013-09, Vol.126 (18), p.3598-3598

Ort / Verlag

China: Department of Medicine,Queen Mary Hospital,The University of Hong Kong, Hong Kong, China%Division of Neurosurgery,Department of Surgery,Queen Mary Hospital,The University of Hong Kong, Hong Kong, China

Erscheinungsjahr

2013

Quelle

MEDLINE

Beschreibungen/Notizen

• To the editor： We report a tricky subarachnoid haemorrhage （SAH）. Our patient was a 59-year-old woman with generalizedheadache for 1 day, which was constricting in nature and rated grade 6/10. Her symptoms were aggravated by lying flat and improved with vomiting. The Glasgow coma scale was lull, blood pressure was 142/83 mmHg and pulse 75 beats/min. There was neither neck stiffness nor focal neurological deficit. Fundoscopic examination was normal. She was noted to have hyponatremia （sodium （Na） 122 mmol/L） with serum osmolarity 263 mmol/kg, urine osmolarity 582 mmol/kg, urine Na I 17 retool/L, nomaal thyroid stimulating hormone and cortisol level.