{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:40:02Z","timestamp":1756291202408,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 67-year-old woman developed a sudden onset headache and left hemiparesis. Emergency medical technicians found that she was conscious, but had left hemiparesis. On arrival, she had an isolated headache without any neurological deficits, however, suddenly became comatose during a head CT examination, which demonstrated a subarachnoid haemorrhage. The head CT angiography on the second day revealed a cerebral aneurysm at the right middle cerebral artery, which was clipped on the same day. The patient demonstrated left haemiplegia and total aphasia after the operation, however, the neurological deficit gradually subsided and discharged on foot in 4\u2005months without any deficits. Some patients with a subarachnoid haemorrhage may demonstrate transient neurological deficits, like those occurring during an ischaemic stroke, so emergency medical technicians and physicians should pay attention to treat such patients gently to avoid the re-rupture of a cerebral aneurysm, especially if the patient has headache symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2013-010321","type":"journal-article","created":{"date-parts":[[2013,8,2]],"date-time":"2013-08-02T10:34:44Z","timestamp":1375439684000},"page":"bcr2013010321","source":"Crossref","is-referenced-by-count":0,"title":["Transient hemiparesis due to a ruptured cerebral aneurysm in the prehospital setting"],"prefix":"10.1136","volume":"2013","author":[{"given":"Youichi","family":"Yanagawa","sequence":"first","affiliation":[{"name":"Department of Emergency and Disaster Medicine, Juntendo University Shizuoka Hospital, Izunokuni, Shizuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuoki","family":"Hirano","sequence":"additional","affiliation":[{"name":"Juntendo University, \nBunkyo-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arisa","family":"Hayashida","sequence":"additional","affiliation":[{"name":"Juntendo University, \nBunkyo-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoko","family":"Nakazato","sequence":"additional","affiliation":[{"name":"Juntendo University, \nBunkyo-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,8,2]]},"reference":[{"key":"2025082703193562000_2013.aug02_1.bcr2013010321.1","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1093\/brain\/124.2.249","article-title":"Subarachnoid haemorrhage: diagnosis, causes and management","volume":"2013","author":"van Gijn","year":"2001","journal-title":"Brain"},{"key":"2025082703193562000_2013.aug02_1.bcr2013010321.2","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/s11940-012-0208-3","article-title":"Familial and sporadic hemiplegic migraine: diagnosis and treatment","volume":"2013","author":"Pelzer","year":"2013","journal-title":"Curr Treat Options Neurol"},{"key":"2025082703193562000_2013.aug02_1.bcr2013010321.3","first-page":"94","article-title":"Unilateral carotid and vertebral artery dissections and contralateral subarachnoid hemorrhage in a postpartum patient","volume":"2013","author":"Hsieh","year":"2008","journal-title":"Acta Neurol Taiwan"},{"key":"2025082703193562000_2013.aug02_1.bcr2013010321.4","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1001\/archneur.59.6.977","article-title":"Spontaneous intracranial internal carotid artery dissection: report of 10 patients","volume":"2013","author":"Chaves","year":"2002","journal-title":"Arch Neurol"},{"key":"2025082703193562000_2013.aug02_1.bcr2013010321.5","first-page":"129","article-title":"Subdural hematomas and isolated transient aphasia","volume":"2013","author":"Rahimi","year":"2000","journal-title":"J Am Med Dir Assoc"},{"key":"2025082703193562000_2013.aug02_1.bcr2013010321.6","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1007\/s13760-012-0079-0","article-title":"Transient hemiparesis caused by spontaneous cervical epidural hematoma","volume":"2013","author":"Lemmens","year":"2012","journal-title":"Acta Neurol Belg"},{"key":"2025082703193562000_2013.aug02_1.bcr2013010321.7","first-page":"845","article-title":"Cerebral venous sinus thrombosis in Behcet's disease: a case report","volume":"2013","author":"Limotai","year":"2004","journal-title":"J Med Assoc Thai"},{"key":"2025082703193562000_2013.aug02_1.bcr2013010321.8","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/j.clineuro.2011.11.017","article-title":"The syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL) as an acute ischemic stroke mimic leading to systemic thrombolysis: a case report","volume":"2013","author":"Krause","year":"2012","journal-title":"Clin Neurol Neurosurg"},{"key":"2025082703193562000_2013.aug02_1.bcr2013010321.9","doi-asserted-by":"crossref","first-page":"1862","DOI":"10.3174\/ajnr.A2645","article-title":"Cerebral ischemia complicating intracranial aneurysm: a warning sign of imminent rupture","volume":"2013","author":"Guillon","year":"2011","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082703193562000_2013.aug02_1.bcr2013010321.10","doi-asserted-by":"crossref","first-page":"617","DOI":"10.3171\/jns.1970.32.6.0617","article-title":"Experimental and clinical study of the development of spasm of the cerebral arteries related to subarachnoid hemorrhage","volume":"2013","author":"Arutiunov","year":"1970","journal-title":"J Neurosurg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-010321","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:19:44Z","timestamp":1756289984000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-010321"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8,2]]},"references-count":10,"alternative-id":["10.1136\/bcr-2013-010321"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-010321","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,8,2]]}}}