J Korean Neurol Assoc.  2018 Nov;36(4):314-317. 10.17340/jkna.2018.4.7.

Focal Subarachnoid Hemorrhage Mimicking Recurrent Transient Ischemic Attack

Affiliations
  • 1Department of Neurology, Chonbuk National University Medical School, Jeonju, Korea. sbsoo@jbnu.ac.kr

Abstract

Focal subarachnoid hemorrhage occasionally presents as transient focal neurologic episodes mimicking transient ischemic attack (TIA). Unless properly diagnosed, it may aggravate cerebral hemorrhage by administering antithrombotic agents. Therefore, clinicians need to be aware that such focal subarachnoid hemorrhage sometimes cannot be detected on noncontrast computed tomography and blood-sensitive magnetic resonance imaging can detect even a small amount of hemorrhage. We describe an 85-year-old woman with focal subarachnoid hemorrhage and possible cerebral amyloid angiopathy who presented transient left arm weakness recurrently, which mimicked TIA.

Keyword

Ischemic attack; Transient; Subarachnoid hemorrhage; Cerebral amyloid angiopathy

MeSH Terms

Aged, 80 and over
Arm
Cerebral Amyloid Angiopathy
Cerebral Hemorrhage
Female
Fibrinolytic Agents
Hemorrhage
Humans
Ischemic Attack, Transient*
Magnetic Resonance Imaging
Subarachnoid Hemorrhage*
Fibrinolytic Agents
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