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  • Title: Cerebral infarction secondary to vasospasm after perimesencephalic subarachnoid hemorrhage.
    Author: Fernandez A, Bond RL, Aziz-Sultan MA, Olvey SE, Mangat HS.
    Journal: J Clin Neurosci; 2011 Jul; 18(7):994-6. PubMed ID: 21565507.
    Abstract:
    Perimesencephalic subarachnoid hemorrhage (pSAH) has been described as a distinct form of subarachnoid hemorrhage (SAH) associated with good outcomes. We report a 48-year-old female who developed cerebral infarction due to severe diffuse vasospasm following pSAH. The patient presented with non-aneurysmal pSAH and was discharged home on day 5. However, one week later she developed an acute onset of right hemiparesis. A brain MRI showed acute infarctions on diffusion weighted imaging and her cerebral angiogram showed diffuse vasospasm. The patient received intra-arterial diltiazem and hypervolemic-hypertensive-hemodilution therapy with resulting resolution of the vasospasm and hemiparesis. While not as common as in SAH, there is a potential for the occurrence of cerebral infarction due to vasospasm after pSAH.
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