Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Review Case Reports
Management of nontraumatic subarachnoid hemorrhage in a patient with sickle-cell disease: a case report.
Subarachnoid hemorrhage (SAH) due to sickle-cell anemia is rare, but potentially devastating. However, with early recognition of SAH, aggressive support with exchange transfusion, cerebral angiography, and neurosurgical intervention, a positive outcome may be achieved. A case report of SAH managed in this fashion is reported. Based on similar cases in the literature, a suggested treatment protocol is provided for the management of nontraumatic SAH in sickle-cell patients presenting to the ED.