Perimesencephalic hemorrhage secondary to abnormal venous circulation

Authors

  • Jesús Pérez Nellar
  • Claudio Enrique Scherle Matamoros
  • Daniel Hierro García
  • Marialys Gil Alfonso

Keywords:

Cerebrovascular disease, Subarachnoid hemorrhage, Stroke

Abstract

INTRODUCTION: It has been suggested that perimesencephalic subarachnoid hemorrhage could be caused by bleeding of venous origin. CASE REPORT: In a 43 years old woman with a mild Subarachnoid Hemorrhage, non-contrasted CT demonstrated a clot in the left perimesencephalic cisterns, in close proximity to an area where the CT angiography showed an abnormal venous system, which consisted in the draining of the basal vein of Rosenthal toward the lateral sinus. CONCLUSIONS: This observation supports the idea that bleeding secondary to regional increase of venous pressure is an important cause of perimesencephalic hemorrhage.

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References

1. van Gijn J, van Dongen KJ, Vermeulen M, et al. Perimesencephalic hemorrhage: a nonaneurysmal and benign form of subarachnoid hemorrhage. Neurology. 1985;35:493–97.

2. Watanabe A, et al. Perimesencephalic nonaneurysmal subarachnoid haemorrhage and variations in the veins. Neuroradiology. 2002;44:319–25.

3. van der Schaaf IC, Velthuis BK. Gouw A, Rinkel GJE. Venous Drainage in Perimesencephalic Hemorrhage. Stroke. 2004;35:1614–18.

4. Shad A, Rourke TJ. et al. Straight sinus stenosis as a proposed cause of perimesencephalic non–aneurysmal haemorrhage. J Clin Neurosc. 2008;15:839–41.

5. Schievink WI, Wijdicks EFM. Origin of Pretruncal Nonaneurysmal Subarachnoid Hemorrhage: Ruptured Vein, Perforating Artery, or Intramural Hematoma? Mayo Clin Proc. 2000;75:1169–73.

Published

2011-09-01

How to Cite

1.
Pérez Nellar J, Scherle Matamoros CE, Hierro García D, Gil Alfonso M. Perimesencephalic hemorrhage secondary to abnormal venous circulation. Rev Cubana Neurol Neurocir [Internet]. 2011 Sep. 1 [cited 2025 Jul. 9];1(1):30-2. Available from: https://revneuro.sld.cu/index.php/neu/article/view/13

Issue

Section

Case presentation