Document Detail

Midbrain stroke with angiogram-negative subarachnoid hemorrhage mimicking a perimesencephalic bleed.
MedLine Citation:
PMID:  17904013     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Angiogram-negative atraumatic subarachnoid hemorrhage (SAH) in a perimesencephalic pattern on computed tomography (CT) is associated with an almost invariably favorable prognosis with few rebleeds. We report a patient who exhibited a perimesencephalic hemorrhage pattern on CT and negative serial angiograms and who presented with severe neurologic disability from a concurrent midbrain stroke. We contend that both the acute infarction and hemorrhage arose from obliteration of a penetrating end artery. Possible etiologies of angiogram-negative SAH, including perimesencephalic hemorrhage, are discussed.
John P Ney
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association     Volume:  14     ISSN:  1532-8511     ISO Abbreviation:  J Stroke Cerebrovasc Dis     Publication Date:    2005 May-Jun
Date Detail:
Created Date:  2007-10-01     Completed Date:  2008-04-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111633     Medline TA:  J Stroke Cerebrovasc Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  136-7     Citation Subset:  -    
Department of Neurology, Walter Reed Army Medical Center, Washington, DC, USA.
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