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Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage
Published on: August 30, 2020
Delayed Perimesencephalic Subarachnoid Hemorrhage Probably Related to Remote Head Trauma: A Case Report
Ermir Roçi1, Emili Mara1, Gentian Vyshka2
1Division of Neurosciences University Hospital Center 'Mother Teresa' Tirana Albania.
Diagnosing subarachnoid hemorrhage can be difficult. Delayed non-aneurysmal perimesencephalic subarachnoid hemorrhage may stem from venous issues or prior trauma.
Area of Science:
- Neurology
- Radiology
- Vascular Medicine
Background:
- Subarachnoid hemorrhage diagnosis presents clinical challenges.
- Non-aneurysmal perimesencephalic subarachnoid hemorrhage (NPMSAH) has complex potential causes.
- Identifying the etiology of NPMSAH is crucial for patient management.
Purpose of the Study:
- To explore potential underlying mechanisms of delayed NPMSAH.
- To highlight the importance of considering remote trauma in idiopathic cases.
Main Methods:
- Review of clinical presentations and imaging findings in NPMSAH cases.
- Analysis of potential venous pathologies and intracranial pressure dynamics.
- Evaluation of historical trauma in patients with unexplained NPMSAH.
Main Results:
- Subtle venous injury, anomalous venous anatomy, and elevated intracranial venous pressure are implicated in NPMSAH.
- A history of remote traumatic events should be investigated in "idiopathic" NPMSAH.
Conclusions:
- NPMSAH diagnosis requires careful consideration of vascular and pressure-related factors.
- Investigating past trauma is essential for managing "idiopathic" NPMSAH cases.
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