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{
    "pk": 1586,
    "title": "The Diagnostic Dilemma in Delayed Subarachnoid Hemorrhage: A Case Report",
    "subtitle": null,
    "abstract": "<p><b>Introduction:</b> Radiologically negative subarachnoid hemorrhage (SAH) has a low incidence and is associated with good clinical outcomes.&nbsp;</p><p><b>Case Report:</b> We present the case of a 44-year-old male with new-onset headaches, which began one week prior while bike riding. At an outside hospital, he had normal computed tomography head and angiogram. He declined a lumbar puncture. Over the following week, the headache was persistent. He lacked meningeal signs. Repeat studies were normal. Lumbar puncture was positive for xanthochromia.&nbsp;</p><p><b>Conclusion: </b>Radiologically negative SAH should be included in the differential diagnosis of patients presenting with unremitting headache in the setting of recent exercise, despite negative imaging, and meningeal signs.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "subarachnoid hemorrhage; lumbar puncture; radiologically negative"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8s09x4mj",
    "frozenauthors": [
        {
            "first_name": "Danielle",
            "middle_name": "A.",
            "last_name": "Bazer",
            "name_suffix": "",
            "institution": "Stony Brook University Hospital, Department of Neurology, Stony Brook, New York; Johns Hopkins Medicine, Department of Neurology, Baltimore, Maryland",
            "department": ""
        },
        {
            "first_name": "Nicholas",
            "middle_name": "",
            "last_name": "Koroneos",
            "name_suffix": "",
            "institution": "Stony Brook University Hospital, Department of Neurology, Stony Brook, New York",
            "department": ""
        },
        {
            "first_name": "Matthew",
            "middle_name": "",
            "last_name": "Orwitz",
            "name_suffix": "",
            "institution": "Stony Brook University Hospital, Department of Neurology, Stony Brook, New York",
            "department": ""
        },
        {
            "first_name": "Jordan",
            "middle_name": "",
            "last_name": "Amar",
            "name_suffix": "",
            "institution": "Washington University in St. Louis, Department of Neurology, St. Louis, Missouri",
            "department": ""
        },
        {
            "first_name": "Ryan",
            "middle_name": "",
            "last_name": "Corn",
            "name_suffix": "",
            "institution": "Stony Brook University Hospital, Department of Neurology, Stony Brook, New York",
            "department": ""
        },
        {
            "first_name": "Elizabeth",
            "middle_name": "",
            "last_name": "Wirkowski",
            "name_suffix": "",
            "institution": "Stony Brook University Hospital, Department of Neurology, Stony Brook, New York",
            "department": ""
        }
    ],
    "date_submitted": "2023-08-02T18:53:16.376000Z",
    "date_accepted": "2023-08-02T19:01:43.834000Z",
    "date_published": "2023-08-14T16:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1586/galley/1139/download/"
        }
    ]
}