Key result
Rupture of an intracranial aneurysm can atypically present with hematemesis and bradycardia, which may mask the underlying neurological emergency and lead to a fatal outcome.
Case Report (n=1)
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Case report demonstrates atypical gastrointestinal symptoms preceding intracranial hemorrhage, suggesting diagnostic caution.
Cerebral aneurysms are localized dilatations of cerebral arteries. Rupture represents their most serious complication and may present with atypical symptoms, leading to misdirected diagnostic evaluation and delayed diagnosis. The aim of this paper is to highlight the possibility of intracranial hemorrhage presenting with diverse clinical manifestations as the initial sign of disease. The methodology of this work is based on a review of the patient's electronic medical record during hospitalization. This case report describes a patient who presented to the emergency department with gastrointestinal symptoms, diagnostic procedures, and post-diagnosis therapy. Ruptured intracranial aneurysm is a medical emergency that, if not recognized and treated adequately and in time, may result in a fatal outcome. Due to the wide spectrum of clinical manifestations, rupture can mimic numerous pathological conditions, emphasizing the importance of thorough history-taking and clinical examination for timely recognition. This case report may contribute to a better understanding of atypical presentations of cerebrovascular events and improve diagnostic accuracy and treatment outcomes.
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Tasovac et al. (2025) conducted a case report in Ruptured brain aneurysm (n=1). Ruptured brain aneurysm was evaluated. Rupture of an intracranial aneurysm can atypically present with hematemesis and bradycardia, which may mask the underlying neurological emergency and lead to a fatal outcome.
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