RESUMO
A 42 year-old man with subarachnoid hemorrhage was admitted in our Service (Hunt & Hess grade II). CT-scan disclosed predominantly perimesencephalic subarachnoid hemorrhage. Digital subtraction angiographic study did not disclose either cerebral aneurysm or any other potential site of intracranial bleeding. The evolution was uneventful. A DSA was repeated one month later and was negative. Four months later, the patient was asymptomatic. The authors review the literature and emphasize the importance in recognizing this benign clinical form of nonaneurysmatic subarachnoid hemorrhage.
Assuntos
Mesencéfalo/diagnóstico por imagem , Hemorragia Subaracnóidea/diagnóstico por imagem , Adulto , Angiografia Cerebral , Humanos , Masculino , Prognóstico , Tomografia Computadorizada por Raios XRESUMO
The authors report the study of 35 cases of microvascular decompression for trigeminal neuralgia. No mortality and a very low morbidity were associated with this procedure. The choice of the treatment and the advantages of each method are discussed.