Missed Diagnosis of Subarachnoid Haemorrhage

Kawahigashi, Teiko and Shimizu, Taro and Kawabe, Takashi and Kida, Yoshitoshi and Watanabe, Kazunao (2021) Missed Diagnosis of Subarachnoid Haemorrhage. European Journal of Case Reports in Internal Medicine, 8 (5). pp. 1-3. ISSN ISSN: 2284-2594

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A 79-year-old woman presented with left retro-orbital pain, headache and blurred vision. Based on negative radiological tests, life-threatening conditions like subarachnoid haemorrhage (SAH) were ruled out and outpatient follow-up was planned. However, the patient returned to the hospital that night because of progressively declining consciousness and was diagnosed with SAH by head computed tomography. The diagnosis of SAH is often challenging, especially in cases with negative radiological results. We describe some strategies, other than radiological examination, for ruling out SAH, such as performing a lumbar puncture and repeating tests to take account of disease progression, and describe biases which can affect clinical decision-making.

Item Type: Article
Uncontrolled Keywords: Emergency medicine, subarachnoid hemorrhage, diagnostic error
Subjects: 600 Tecnologia - Scienze applicate
600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Marina Spanti
Date Deposited: 19 Jan 2022 16:54
Last Modified: 19 Jan 2022 16:54
URI: http://eprints.bice.rm.cnr.it/id/eprint/21237

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