Bahar Vahdat Humain

Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


  • Case Report   
    A Rare Manifestation of Subarachnoid Hemorrhage: Case Report
    Author(s): Vafadar Moradi Elnaz, Bahar Vahdat Humain, Rezvani Kakhki Behrang*, Habibzadeh Seyed Reza and Sadrzadeh Sayyed Majid

    Bleeding is a critical sign in many patients and continues or recurrent hemorrhage leads to emergency department (ED) visits. Epistaxis alone is a common problem, but when it presented with simultaneous otorrhagia become a very unpleasant event. Spontaneous epistaxis and otorrhagia necessitate imaging assessment to identification of underlying cause. A ruptured aneurysm or a possible underlying SAH should be evaluated by brain Computed Tomography. Advance diagnostic modalities for detection of underlying cause of SAH include: Computed Tomography Angiography, Magnetic Resonance Angiography and Digital Subtraction Angiography. A 57-years-old woman was referred to our tertiary hospital emergency department (ED) with otorrhagia and epistaxis. She had no history of headache, head trauma, hypertension and drug usage. In physical examination her vital signs were normal and Glasgow Coma Scale.. Read More»

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