Bilateral lower-extremity paresis as an atypical presentation of subarachnoid hemorrhage: A case report
This case underscores the importance of including SAH in the differential diagnosis of acute paraparesis, even in the absence of classic signs. Bilateral infarcts may result from early microthrombosis or transient cerebral hypoperfusion following a sudden increase in intracranial pressure. Recognizing such mechanisms is essential for timely diagnosis and management.
Authors
- Eiichi Ishikawa (ORCID: https://orcid.org/0000-0001-9224-9767)
- Masayuki Satō (ORCID: https://orcid.org/0000-0003-3364-5270)
- Kazuhiro Nakamura (ORCID: https://orcid.org/0000-0001-9175-1595)
- Noriyuki Kato (ORCID: https://orcid.org/0000-0001-7393-6019)
- S Maruyama
- Kuniyuki Onuma
Institutions
- University of Tsukuba (JP)
- National Hospital Organization Mito Medical Center (JP)
Publication Details
- Journal
- Surgical Neurology International
- Published
- 2025-10-24
- DOI
- https://doi.org/10.25259/sni_805_2025
- Primary Topic
- Intraoperative Neuromonitoring and Anesthetic Effects
- Type
- article
- Field-Weighted Citation Impact
- 0.00