RT Book, Section
A1 Lee, Kiwon
A1 Mayer, Stephan A.
A2 Lee, Kiwon
SR Print(0)
ID 1143954890
T1 Management of Increased Intracranial Pressure
T2 The NeuroICU Book, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071841443
LK neurology.mhmedical.com/content.aspx?aid=1143954890
RD 2024/04/20
AB A  38-year-old  woman  who  is  a  tobacco  smoker  with  no  significant  past  medical  history  presents  with  sudden  new-onset  bifrontal  headache.  The  patient  describes  sharp,  constant  frontal  pain  with  nausea,  photophobia,  and  neck  stiffness.  Noncontrast  computed  tomography  (CT)  scan  and  clinical  examination  reveal  acute  subarachnoid  hemorrhage  (SAH)  with  Hunt  and  Hess  grade  II,  Fisher  group  3,  and  modified  Fisher  group  4  with  bilateral  intraventricular  hemorrhage  (IVH).  An  emergent  external  ventricular  drain  (EVD)  was  placed  when  the  patient’s  mental  status  deteriorated  to  a  drowsy,  difficult-to-arouse  state  along  with  radiographic  evidence  of  worsening  IVH  and  hydrocephalus.