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Stress-Induced Subarachnoid Hemorrhage: A Case Report
While there are many forms of intracranial hemorrhage (ICH), the most common form affecting young to middle-aged patients is subarachnoid hemorrhage (SAH). SAHs are primarily traumatic, while a minority of cases are spontaneous. The majority of spontaneous SAHs occur due to the rupture of a cerebrov...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392856/ https://www.ncbi.nlm.nih.gov/pubmed/36004018 http://dx.doi.org/10.7759/cureus.27124 |
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author | Ritchie, Charlotte Tinawi, Qamar Al Fahmy, Mostafa Mahmoud Selim, Mohammad |
author_facet | Ritchie, Charlotte Tinawi, Qamar Al Fahmy, Mostafa Mahmoud Selim, Mohammad |
author_sort | Ritchie, Charlotte |
collection | PubMed |
description | While there are many forms of intracranial hemorrhage (ICH), the most common form affecting young to middle-aged patients is subarachnoid hemorrhage (SAH). SAHs are primarily traumatic, while a minority of cases are spontaneous. The majority of spontaneous SAHs occur due to the rupture of a cerebrovascular aneurysm. A small number of spontaneous SAHs occur without any objective findings of an aneurysm. Most of these cases are in older patients with certain risk factors such as smoking, hypertension, and alcohol use. This article reports a young female patient without any known significant risk factors who developed an acute spontaneous SAH while experiencing a significant psychological stressor. Recent literature has focused on certain somatic manifestations of psychological stressors, such as stress-induced (Takotsubo) cardiomyopathy. We postulate that our patient’s SAH was a sequela of psychological stress and that the pathophysiology may be similar to Takotsubo cardiomyopathy. |
format | Online Article Text |
id | pubmed-9392856 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-93928562022-08-23 Stress-Induced Subarachnoid Hemorrhage: A Case Report Ritchie, Charlotte Tinawi, Qamar Al Fahmy, Mostafa Mahmoud Selim, Mohammad Cureus Internal Medicine While there are many forms of intracranial hemorrhage (ICH), the most common form affecting young to middle-aged patients is subarachnoid hemorrhage (SAH). SAHs are primarily traumatic, while a minority of cases are spontaneous. The majority of spontaneous SAHs occur due to the rupture of a cerebrovascular aneurysm. A small number of spontaneous SAHs occur without any objective findings of an aneurysm. Most of these cases are in older patients with certain risk factors such as smoking, hypertension, and alcohol use. This article reports a young female patient without any known significant risk factors who developed an acute spontaneous SAH while experiencing a significant psychological stressor. Recent literature has focused on certain somatic manifestations of psychological stressors, such as stress-induced (Takotsubo) cardiomyopathy. We postulate that our patient’s SAH was a sequela of psychological stress and that the pathophysiology may be similar to Takotsubo cardiomyopathy. Cureus 2022-07-21 /pmc/articles/PMC9392856/ /pubmed/36004018 http://dx.doi.org/10.7759/cureus.27124 Text en Copyright © 2022, Ritchie et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Ritchie, Charlotte Tinawi, Qamar Al Fahmy, Mostafa Mahmoud Selim, Mohammad Stress-Induced Subarachnoid Hemorrhage: A Case Report |
title | Stress-Induced Subarachnoid Hemorrhage: A Case Report |
title_full | Stress-Induced Subarachnoid Hemorrhage: A Case Report |
title_fullStr | Stress-Induced Subarachnoid Hemorrhage: A Case Report |
title_full_unstemmed | Stress-Induced Subarachnoid Hemorrhage: A Case Report |
title_short | Stress-Induced Subarachnoid Hemorrhage: A Case Report |
title_sort | stress-induced subarachnoid hemorrhage: a case report |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392856/ https://www.ncbi.nlm.nih.gov/pubmed/36004018 http://dx.doi.org/10.7759/cureus.27124 |
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