Phys Clinical Cases · neurological
Subarachnoid Haemorrhage AND Intracranial Haemorrhage — DCE Clinical Case
DCE long-case and short-case station for Subarachnoid Haemorrhage AND Intracranial Haemorrhage.
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Subarachnoid Haemorrhage AND Intracranial Haemorrhage — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Subarachnoid Haemorrhage AND Intracranial Haemorrhage. [1]
Presenting complaint: Subacute or acute symptoms referable to Subarachnoid Haemorrhage AND Intracranial Haemorrhage, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
References6ShowHide
- [1]Tariq Z, Shahzad F, Jannat NE, Hashmi TM, et al. Radially adjustable Tigertriever demonstrates higher reperfusion compared to self-expanding stent-retrievers during mechanical thrombectomy of large vessel occlusions: a systematic review and meta-analysis Front Neurol, 2026.PMID 42459847
- [2]Tamer C, Ltaif DA, Ghalayini T, El Sardouk O, et al. A novel face-level blast mechanism: CT findings of neuro-ocular injury from a mass-casualty event BMC Med Imaging, 2026.PMID 42443800
- [3]Mistretta F, Russo R, Molinaro S, Gava UA, et al. Management of hemorrhagic isolated pure lenticulostriate artery aneurysms: a systematic review and three illustrative cases Neurosurg Rev, 2026.PMID 42435087
- [4]Vergouwen MDI, Ramos-Pachon A, Terecoasa EO, Willett N, et al. European Stroke Organisation (ESO), European Association of Neurosurgical Societies (EANS) and European Society for Minimally Invasive Neurological Therapy (ESMINT) guideline on aneurysmal subarachnoid haemorrhage Eur Stroke J, 2026.PMID 42095754
- [5]Chan MMY, Nijenhuis T, Galletti F, Figueres L, et al. KDIGO 2025 Clinical Practice Guideline for ADPKD: a commentary on intracranial aneurysms and other vascular manifestations from the ERA Working Group Genes & Kidney Nephrol Dial Transplant, 2026.PMID 42065712
- [6]Nene RV, Simon N, Smith AM, Costantini TW, et al. Impact of aspirin use on the modified brain injury guidelines for the management of mild traumatic intracranial hemorrhage Am J Emerg Med, 2026.PMID 42061202