Frontal Lobe Hemorrhage With Surrounding Edema and Subarachnoid Hemorrhage

Division

North Florida

Hospital

Osceola Regional Medical Center

Document Type

Case Report

Publication Date

11-10-2022

Keywords

blood pressure control, hematoma expansion, intracerebral hemorrhage, intraventricular hemorrhage, neurocritical care

Disciplines

Cardiovascular Diseases | Emergency Medicine | Nervous System Diseases | Neurology

Abstract

We report the case of an 81-year-old woman who presented with a left hemineglect, a rightward gaze preference, and baseline disorientation. Her National Institutes of Health Stroke Score was 4. Her medical history was significant for dementia, osteoporosis, dyslipidemia, and a previous stroke. CT revealed a right-sided frontal lobe hemorrhage with surrounding edema and subarachnoid hemorrhage. Laboratory evaluation was significant for leukocytosis. The etiologies, clinical presentation, and diagnosis of this often devastating type of stroke are presented. While she did have a significant neurologic deficit (neglect), she was able to remain alert and protect her airway. Her hospital course consisted of observation in the ICU and blood pressure management. The case illustrates that intracerebral hemorrhage (ICH) can sometimes present indolently and does not always require surgical intervention.

Publisher or Conference

Cureus

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