Case of the Month #3 - haemorrhage

Published 10/02/2022

What are the potential causes of her reduced level of consciousness?

Delayed neurological deterioration is common after aSAH. (aneurysmal subarachnoid haemorrhage).  This patient has undergone a successful endovascular procedure which should prevent rebleeding (which is a cause of decreased conscious level). The differential diagnosis in this scenario includes:  

  1. Residual sedation.  
  2. Hydrocephalus 
  3. Delayed cerebral ischaemia 
  4. Non convulsive status epilepticus 
  5. Fever