Document Detail


Quadrigeminal non-aneurysmal subarachnoid hemorrhage--a true variant of perimesencephalic subarachnoid hemorrhage. Case report.
MedLine Citation:
PMID:  12691799     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Spontaneous non-aneurysmal subarachnoid hemorrhage (SAH) centered in the quadrigeminal cistern has been proposed as a variant of perimesencephalic non-aneurysmal SAH (PNSH). Some authors contest the existence of this entity, claiming it results either from head trauma or an undiscovered P2-P3 aneurysm, and conclude that all PNSH arise in front of the brainstem in a 'pretruncal' location. We report a patient with a quadrigeminal pattern of subarachnoid blood who was investigated with two digital catheter angiograms, including 3-D angiography, plus a high-resolution computed tomography angiogram. No abnormal findings were present and the patient had an excellent outcome. We propose that the more common pretruncal PNSH and less common quadrigeminal PNSH are two types of perimesencephalic SAH with separate, distinct etiologies, both of which have a more benign clinical course than aneurysmal SAH.
Authors:
Theodore H Schwartz; Jeffrey Farkas
Related Documents :
3067549 - Multiple intracranial aneurysms in identical twins.
8478399 - Alterations in protein kinase c activity and membrane lipid metabolism in cerebral vaso...
8033579 - Hemorrhage complicating yag laser feeder vessel coagulation of cornea vascularization.
11136939 - Quantitative analysis of gene expressions related to inflammation in canine spastic art...
20726749 - A 5-year retrospective study assessing the association between seasonal and meteorologi...
1603219 - Cerebral vasospasm with elevated creatine phosphokinase following surgery of unruptured...
7431079 - Dissecting aneurysm of the cerebral arteries. case report.
21183749 - Discriminating carotid atherosclerotic lesion severity by luminal stenosis and plaque b...
19543769 - Carotid artery dissection following a minor household accident in a 10-month-old child.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  105     ISSN:  0303-8467     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-04-14     Completed Date:  2003-06-18     Revised Date:  2009-10-14    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  95-8     Citation Subset:  IM    
Affiliation:
Department of Neurological Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, 525 East 68th, Box #99, New York, NY 10021, USA. schwarh@med.cornell.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Cerebral Angiography
Female
Humans
Imaging, Three-Dimensional
Middle Aged
Subarachnoid Hemorrhage / pathology*
Tectum Mesencephali / pathology*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Arachnoid cyst within the fourth ventricle: a case report.
Next Document:  Depression with anosognosia following a left subcortical stroke.