A 48-year-old woman develops sudden, severe "thunderclap" headache while exercising. She is nauseated, photophobic, and confused. Vital signs: BP 168/94 mmHg, HR 112 bpm, RR 18, Temp 37.2°C, SpO2 98% on room air. Noncontrast head CT reveals blood layering in the basal cisterns and subarachnoid space. CSF analysis shows xanthochromia. She denies prior seizures. Which of the following is the most likely diagnosis?
- A)Bridging vein rupture
- B)Laceration of the middle meningeal artery
- C)Hypertensive hemorrhage of the putamen
- D)Berry aneurysm ruptureGABARITO
- E)Rupture of a cortical contusion
Explicação
Berry aneurysm rupture is correct. Spontaneous subarachnoid hemorrhage classically presents with a thunderclap headache and blood in the subarachnoid space, often from rupture of a saccular aneurysm in the circle of Willis, especially at branch points such as ... Ver explicação completa e trilha adaptativa →