CASE
HISTORY :
A 55-year-old patient suddenly complains of severe headache during sexual
intercourse. Patient
is comatose.
FINDINGS:
Unenhanced
scan (i.e.
without contrast administration).
Hyperdense
(60-80HE) structures in the subarachnoid
space, hyperdense (60-80HE) structures in the sulci
. Flattened
gyri und sulci.
DIAGNOSIS:
Acute
subarachnoid
hemorrhage with evidence of blood
around the base of the brain and on both sides of the sylvian fissure.
Brain
edema
DIFFERENTIAL DIAGNOSIS:
Acute/chronic
meningitis
Tuberculous meningitis
Meningeal carcinomatosis
Information on the internet:
1) Uni Düsseldorf
2) Gesundheit.de
3) Chorus