Perimezensefalik anevrizmal kökenli olmayan subaraknoid kanama: Olgu sunumu

Perimezensefalik anevrizmal kökenli olmayan subaraknoid kanama, tipik kanama paterni ve iyi prognozu ile bir subaraknoid kanama tipidir. Şiddetli baş ağrısı şikâyeti ile acil servisimize başvuran olgunun nörolojik muayenesinde sadece şüpheli bir ense sertliği vardı. Çekilen bilgisayarlı beyin tomografisinde (BBT) mezensefalon çevresine lokalize kanama gözlendi. Yapılan serebral angiografide (DSA) kanamaya sebep olabilecek patolojik bir oluşum saptanmadı. Halen takibimizdeki hastanın aralarda olan baş ağrısı haricinde bir şikâyeti bulunmamaktadır. Subaraknoid kanamalı bir hastada perimezensefalik kanama paternini iyi tanımlamak gereksiz nöroradyolojik ve cerrahi uygulamalar açısından önemlidir.

Perimesencephalic nonaneurysmal subarachnoid hemorrhage: Case report

Perimesencephalic nonaneurysmal subarachnoid hemorrhage is a subarachnoid hemorrhage pattern with characteristic hemorrhage and well prognoses. Our case had a doubtful neck stiffness on her neurological examination when patient admitted to our emergency department with severe headache. There was a hemorrhagic appearance around the mesencephalon on computerized brain tomography. No pathologic pattern was seen as a cause on cerebral angiography. She has no complaint excepting headache that seen occasionally. It's important to determine the perimesencephalic hemorrhagic pattern of subarachnoid hemorrhage for unnecessary neuroradiological and surgical interventions.

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