Evidence map›Paper›PMID 38881976›Full record

ArticleSAGE open medical case reports2024

Subarachnoid hemorrhage mimicking an acute migraine attack: A case report.

Himal Bikram Bhattarai, Amrit Bhusal, Ganesh Bhattarai, Bibhusan Basnet, Swotantra Gautam, Sabina Koirala, Manish Uprety, Bibhuti Adhikari, Ritu Pokhrel, Shailendra Katwal

Abstract readCase Reports
In one paragraph

Article in SAGE open medical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Himal Bikram BhattaraiGandaki Medical College Teaching Hospital and Research Center Pvt Ltd, Pokhara, Nepal.
Amrit BhusalBP Koirala Institute of Health Sciences, Dharan, Kathmandu, Nepal.
Ganesh BhattaraiTribhuvan University, Institute of Medicine, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal.ORCID https://orcid.org/0009-0004-8267-4646
Bibhusan BasnetBP Koirala Institute of Health Sciences, Dharan, Kathmandu, Nepal.
Swotantra GautamBP Koirala Institute of Health Sciences, Dharan, Kathmandu, Nepal.
Sabina KoiralaGandaki Medical College Teaching Hospital and Research Center Pvt Ltd, Pokhara, Nepal.
Manish UpretyKathmandu University School of Medical Sciences, Kathmandu, Nepal.
Bibhuti AdhikariKathmandu Medical College and Teaching Hospital, Kathmandu, Nepal.
Ritu PokhrelKathmandu Medical College and Teaching Hospital, Kathmandu, Nepal.
Shailendra KatwalTribhuvan University, Institute of Medicine, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Subarachnoid hemorrhage is a neurological emergency in which arterial blood accumulates in the subarachnoid space with cerebral aneurysmal rupture being the most common cause. Subarachnoid hemorrhage is often misdiagnosed in the emergency department and mortality rates range from 8% to 67%. It may be the manifestation of the chronicity of the migraine. The difference in severity or quality compared to previous headaches, and other symptoms, particularly neck stiffness, but also seizure, syncope, focal neurological deficit, and vomiting are the key factors differentiating subarachnoid hemorrhage from the migraine. We report a case of a 37-year-old female with a previous history of migraines who presented with acute onset of excruciating headaches in the occiput associated with nausea, vomiting, and photophobia in whom a non-contrast computed tomography scan of the head showed hyper-densities involving the bilateral cerebral cortical sulcus and Sylvian fissure and the cerebral angiography showed a complex aneurysm in anterior communicating artery.

Indexed as

emergency settingmigrainemisdiagnosisSubarachnoid hemorrhage

Identifiers

PMID38881976
PMCPMC11179526

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.