Apropos of a case subarachnoid hemorrhage

Abstract

Introduction: The subarachnoid hemorrhage (SAH) is a relatively frequent pathology in units of intensive treatment, with high morbidity, mortality and requires multidisciplinary management. The computerized Axial Tomography as a diagnostic tool is required to detect a cerebral aneurysm, particularly through cerebral angiography. This study allows you to visualize the cerebrovascular system and detect their vascular alterations. Early diagnosis prevents complications that may compromise the life or their subsequent quality.

Objective: To describe a clinical case of subarachnoid hemorrhage.

Material and methods: retrospective descriptive study, clinical case presentation. Results: The case of a 62-year-old patient, who suddenly presents intense headache, no pathological history of hypertension arises. It is received in the area of critical, hemodynamically stable, conscious, with Glasgow 14/15. Is presumptively diagnosed a stroke onset, was computed tomography (CT), which revealed the presence of hiperdensas images laminar in basal cisterns, and then proceeded to make the cerebral angiography It confirmed the existence of ruptured aneurysm.

Conclusions: The diagnostic accuracy in emergency allows to adopt effective therapeutic behavior in patients with subarachnoid hemorrhage by ruptured aneurysm.