• Neurosurgery · Sep 1996

    Review

    Perimesencephalic nonaneurysmal subarachnoid hemorrhage: review of the literature.

    • T H Schwartz and R A Solomon.
    • Department of Neurological Surgery, Neurological Institute of New York, Columbia-Presbyterian Medical Center, New York, USA.
    • Neurosurgery. 1996 Sep 1; 39 (3): 433-40; discussion 440.

    ObjectiveA critical review of the literature on the incidence, presentation, diagnosis, and prognosis of perimesencephalic nonaneurysmal subarachnoid hemorrhage.MethodsReview of the relevant literature.ConclusionThe importance of early computed tomography (< 3 d), anatomy of the perimesencephalic and neighboring cisterns, and adequate four-vessel angiography are discussed. Treatment strategies, including the avoidance of repeated angiographic studies and surgical exploration, are presented.

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