Clinical case of complicated course of subarachnoid hemorrhage with formation cerebrocardial syndrome and stress hyperglycemia
We consider a clinical case of show weighting of pathological processes initiated by aneurysmal disease with the subsequent development of cerebrocardial syndrome, in the form of subarachnoid hemorrhage and myocardial infarction with a chain of complications - convulsive syndrome, stress hyperglycemia, hyperosmolar syndrome, acute renal damage, pulmonary edema, pneumonia, sepsis that occurred within a short period of time. The patient was diagnosed with early polycystic kidney disease, which is a predictor of aneurysmal disease and increased risks of subarachnoid hemorrhage. This clinical case is of interest to practitioners of various specialties, based on several positions. First of all, the need for a thorough history collection in order to hospitalize patients in specialized hospitals (departments), where they can receive specialized care in the shortest possible time. The development of the patient’s cerebrocardial syndrome occurred against the background of a relatively small subarachnoid hemorrhage, and the severity of the course of the cerebrocardial syndrome has no direct correlation with the volume of bleeding, but depends on the involvement of certain parts of the brain in the process. The emergence of stress hyperglycemia, directly pathogenetically interconnected with cerebrocardial syndrome, being mutually aggravating conditions. Thus, the severity of cerebrocardial syndrome depends on the severity of hyperglycemia. In cases of primary detection of polycystic kidney disease, it is advisable to consider conducting a computer or magnet-resonance angiography of the brain, if previously these studies were not performed.