Management of nontraumatic subarachnoid hemorrhage in a patient with sickle-cell disease: a case report.
Subarachnoid hemorrhage (SAH) due to sickle-cell anemia is rare, but potentially devastating. However, with early recognition of SAH, aggressive support with exchange transfusion, cerebral angiography, and neurosurgical intervention, a positive outcome may be achieved. A case report of SAH managed in this fashion is reported. Based on similar cases in the literature, a suggested treatment protocol is provided for the management of nontraumatic SAH in sickle-cell patients presenting to the ED.
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SUNY Health Science Center at Brooklyn, Kings County Hospital, Department of Emergency Medicine, NY 11203, USA. steph142@usa.pipeline.com
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D000328:Adult; D000755:Anemia, Sickle Cell / Q000150:complications*; D002533:Cerebral Angiography; D002985:Clinical Protocols; D003131:Combined Modality Therapy; D004635:Emergency Medicine; D005078:Exchange Transfusion, Whole Blood; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications*; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed