Dyskinesia as a unique presentation of subarachnoid hemorrhage: a case report

International Journal of Emergency Medicine

Case Report

Jessica Poon¹  Aleq Jaffery¹  Herman Morchel² 

[1] Department of Emergency Medicine, Hackensack University Medical Center, 30 Prospect Ave, 07601, Hackensack, NJ, USA;Hackensack Meridian School of Medicine, 340 Kingsland St, 07110, Nutley, NJ, USA;

关键词: Diagnostic error;    Heuristics;    Subarachnoid hemorrhage;    Metacognition;    Case report;   

DOI  :  10.1186/s12245-023-00476-2

 received in 2022-12-07, accepted in 2023-01-01,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundSubarachnoid hemorrhage (SAH) is a diagnosis that emergency physicians must have a high index of suspicion for. Many common chief complaints such as headache, nausea, altered mental status, and even syncope may alert clinicians to the possibility of a SAH.Case presentationThe authors present an unusual case of SAH in a patient presenting with acute dyskinesia and altered mental status, which has seldom been documented as the presenting feature of SAH, as well as the diagnostic pitfalls encountered in assessing this patient.ConclusionEmergency physicians should maintain a high index of suspicion for dangerous pathology in cases without a clear etiology; they should also utilize metacognition to assess their own biases and thought patterns so as to avoid missing critical diagnoses.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 39