Frontal Lobe Hemorrhage With Surrounding Edema and Subarachnoid Hemorrhage
Osceola Regional Medical Center
blood pressure control, hematoma expansion, intracerebral hemorrhage, intraventricular hemorrhage, neurocritical care
Cardiovascular Diseases | Emergency Medicine | Nervous System Diseases | Neurology
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
Vu M, Mohamed M, Stead TS, Mangal R, Ganti L. Frontal Lobe Hemorrhage With Surrounding Edema and Subarachnoid Hemorrhage. Cureus. 2022;14(11):e31345. doi:10.7759/cureus.31345