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Case Report

RMJ. 2016; 41(4): 505-507

Non-traumatic subarachnoid hemorrhage due to ruptured middle cerebral artery aneurysm in a young lady: A challenge in diagnosis.

Hakimah Mohammad Sallehuddin, Hoo Fan Kee, Tan Yi Jun.


We present a case of a young lady who had subarachnoid hemorrhage and was initially misdiagnosed as acute sinusitis. High index of suspicion and ability to analyze her risk factors and associated electrocardiographic, biochemical and radiological findings eventually led to the right diagnosis and treatment. A high index of suspicion remains the cornerstone of diagnosis.

Key words: Subarachnoid hemorrhage, SAH, MCA aneurysm, hypertension.

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