Misdiagnosis of atypical spontaneous subarachnoid hemorrhage 38 cases

Objective To study atypical spontaneous subarachnoid hemorrhage(SAH) were misdiagnosed,and preventive measures. Methods The hospital 2005—2010 misdiagnosed,39 cases of atypical clinical data of spontaneous subarachnoid hemorrhage were retrospectively analyzed. Results The main misdiagnosed as a simple headache,vascular headache 9;main headache with symptoms of sleepiness in 6 cases misdiagnosed as hypertensive encephalopathy;with vertigo,nausea,mainly mistaken for vertebrobasilar insufficiency in 6 cases;with vertigo,precordial discomfort mainly misdiagnosed as coronary heart disease in 5 cases;to dizziness,vomiting symptoms in 3 cases were misdiagnosed as Meniere's disease;to vomiting,diarrhea symptoms in 3 cases misdiagnosed as acute gastroenteritis;to the shoulder and neck pain symptoms mainly misdiagnosed as cervical spondylosis in 2 cases;to headache,vomiting associated with limb paralysis symptoms in 3 cases misdiagnosed as cerebral hemorrhage;with fever accompanied by headache,malaise symptoms in acute upper respiratory tract misdiagnosed as 2 cases;to lower back pain symptoms mainly misdiagnosed as lumbar muscle strain in 2 cases. Conclusions The clinical manifestations of subarachnoid hemorrhage is not typical complex and diverse,misdiagnosis rate is high,should be detailed history,careful physical examination,patients suspected to be positive by head CT and lumbar puncture and other tests to reduce the misdiagnosis rate.