Subarachnoid Hemorrhage: An Unusual Presentation of Shock - 12/09/11
Abstract |
A 42-year-old woman became profoundly hypotensive shortly after arriving at our emergency medical center after a seizure. The patient's blood pressure did not respond to aggressive fluid resuscitation, administration of inotropic agents, vasopressors, or corticosteroids. After a thorough search for the cause of shock, she was found to have a subarachnoid hemorrhage (SAH). Hypotension is a rare occurrence in SAH. Several mechanisms of SAH are reviewed in this report and are invoked to explain this patient's lack of response to the standard therapies for hypotension. Emergency physicians should consider SAH in the differential diagnosis of refractory shock in patients who present with neurologic abnormalities.
[Gipe B, McFarland D: Subarachnoid hemorrhage: An unusual presentation of shock. Ann Emerg Med July 1995:26;85-89].
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 | From the UCLA-Center for Health Sciences Emergency Medicine Center, Los Angeles, California. |
| Address for reprints: Bruce Gipe, MD, SouthWest Critical Care Associates, 520 Washington Boulevard, Suite 493, Marina del Rey, California 90292, 310-301-0920, Fax 310-301-0903 |
 | Reprint no. 47/1/64715 |
Vol 26 - N° 1
P. 85-89 - juillet 1995 Retour au numéro
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