title: [Perimesencephalic hemorrhage].
abstract: Among 293 subarachnoid hemorrhages admitted to the Neurology and Neurosurgery departments of Sta Maria Hospital, 108 patients had a normal cerebral angiography. Twenty-three meet the radiological criteria for perimesencephalic hemorrhage (center of the hemorrhage located in front of the mesencephalon, without blood in the interhemispheric and lateral sylvian fissures, nor significant intraventricular hemorrhage). The clinical picture was one of sudden, severe headache with meningeal signs, without focal signs or decreased alertness. Evolution was benign: there was no intrahospital mortality, morbidity or rebleeds on follow-up (3.5 years). In this subgroup of subarachnoid hemorrhage there is no need for a repeated angiogram if the first angiography is considered normal.
authors: Serviço de Neurologia, Neurocirurgia e Radiologia, Hospital Santa Maria, Lisboa.
authors: P
authors: P
authors: Canhão
authors: A N
authors: AN
authors: Pinto
authors: T
authors: T
authors: Pinho e Melo
authors: J M
authors: JM
authors: Ferro
authors: J G
authors: JG
authors: Campos
authors: A M
authors: AM
authors: Trindade
authors: J L
authors: JL
authors: Antunes
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008636:Mesencephalon; D008875:Middle Aged; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis*
vernacular_title: Hemorragia perimesencefálica.