Article type: Case Report
Article
title: Parietal hemorrhagic infarction presenting
with gastrointestinal symptoms: a case report
Journal: Gulhane Medical Journal
Year:
2019
Authors:
Jamir Pitton Rissardo, Ana LetÃcia Fornari Caprara
E-mail:
jamirrissardo@gmail.com
ABSTRACT
The clinical presentation of spontaneous intracerebral
hemorrhages (ICH) varies depending upon the location of the hemorrhage. We
report a case of an elderly female that was admitted due to diffuse crampy
abdominal pain, nausea, and vomiting within one day of onset. Her medical history
included hypertension and no previous abdominal or pelvic surgery. Her abdomen
was soft, non distended, and mildly tender to palpation in all quadrants. Her
vital signs were normal. Laboratory blood tests and urinalysis were within
normal limits. An abdominal CT was unremarkable. On day two of hospital
admission, she persisted with the symptoms and started presenting an acute
confusional state. Her neurological examination showed a hippus. A cranial CT
scan showed left parietal hemorrhage. A loading dose of phenytoin was started
and her clinical symptoms fully recovered. In the following days, she had good
acceptance of an oral diet and was discharged home with phenytoin prophylactically.
Keywords: Parietal lobe, stroke, abdominal pain
Full text available at:
DOI
10.26657/gulhane.00062
Citation
Rissardo
JP, Caprara AL. Parietal hemorrhagic
infarction presenting with gastrointestinal symptoms: a case report. Gulhane Med J 2019;61:90-91
Figure 1. Images of computed tomography scan showing left parietal hemorrhage (indicated by the arrow). Axial (A), coronal (B), and sagittal (C) views of cranial CT scan.