TY - JOUR
T1 - Spontaneous subarachnoid hemorrhage due to arteriovenous malformation mimicking migraine
T2 - A case report
AU - Rasyid, Al
AU - Kurniawan, Mohammad
AU - Hidayat, Rakhmad
AU - Mulyadi, Rahmad
AU - Nugroho, Setyo Widi
AU - Yolanda, Sophie
AU - Wiyarta, Elvan
AU - Harris, Salim
AU - Mesiano, Taufik
N1 - Funding Information:
Informed consent was obtained from all subjects involved in the study. No new data were created or analyzed in this study. Data sharing is not applicable to this article.
Publisher Copyright:
© 2021
PY - 2022/3
Y1 - 2022/3
N2 - Subarachnoid hemorrhage (SAH) due to Arteriovenous Malformation (AVM) is a rare emergency case, which is often misdiagnosed as migraine. Here we present a case of SAH due to AVM that mimics migraine. A 41-year-old man came with headaches that radiated to the neck, worsened in the last week, accompanied by nausea, vomiting, photophobia, and a history of intermittent headaches for the previous 2 years. Physical examination was within normal limits, initial laboratory tests showed leukocytosis, and CT scan was not typical. The patient was diagnosed with migraine. Apparently, the lumbar puncture showed very high red blood cells, suspected as SAH. CT angiography revealed an extra-axial AVM. The patient was later diagnosed as SAH due to AVM. We recommend applying 4 key points, namely headache progressivity, neck pain, neck stiffness, and leukocytosis, to differentiate SAH due to AVM from migraine, especially in areas with limited facilities.
AB - Subarachnoid hemorrhage (SAH) due to Arteriovenous Malformation (AVM) is a rare emergency case, which is often misdiagnosed as migraine. Here we present a case of SAH due to AVM that mimics migraine. A 41-year-old man came with headaches that radiated to the neck, worsened in the last week, accompanied by nausea, vomiting, photophobia, and a history of intermittent headaches for the previous 2 years. Physical examination was within normal limits, initial laboratory tests showed leukocytosis, and CT scan was not typical. The patient was diagnosed with migraine. Apparently, the lumbar puncture showed very high red blood cells, suspected as SAH. CT angiography revealed an extra-axial AVM. The patient was later diagnosed as SAH due to AVM. We recommend applying 4 key points, namely headache progressivity, neck pain, neck stiffness, and leukocytosis, to differentiate SAH due to AVM from migraine, especially in areas with limited facilities.
KW - Arteriovenous malformation
KW - Emergency
KW - Migraine
KW - Stroke
KW - Subarachnoid hemorrhage
UR - http://www.scopus.com/inward/record.url?scp=85121971493&partnerID=8YFLogxK
U2 - 10.1016/j.radcr.2021.12.015
DO - 10.1016/j.radcr.2021.12.015
M3 - Article
AN - SCOPUS:85121971493
SN - 1930-0433
VL - 17
SP - 790
EP - 793
JO - Radiology Case Reports
JF - Radiology Case Reports
IS - 3
ER -