No abstract

The incidence of perimesencephalic subarachnoid hemorrhage (PMSAH) is rare, 0.5 in 100,000 adults. It comprises 5 to 10% of all SAHs and approximately 33% of all nonaneurysmal SAH. Quadrigeminal SAH is a variant of perimesencephalic nonaneurysmal subarachnoid hemorrhage (PMNASAH) that is not well described in the literature. It may comprise up to one-fifth of PMNASAH cases and carries a similar benign prognosis. This variant of PMSAH is characterized by blood centered in the quadrigeminal cistern and limited to the superior vermian and posterior perimesencephalic cisterns. Noncontrast computed tomography of the brain is the initial investigation of choice, while four-vessel cerebral angiogram is the gold standard for the diagnosis of SAH.We report a case at our institute.

Background: India had launched the world's largest COVID-19 vaccination program me with the frontline and health care workers on 16 January 2021. There was signicant anxiety and apprehension about the safety, efcacy and side effects of Covid-19 vaccines among health care and frontline workers. To estimate Objective: the level of vaccine hesitancy to novel COVID-19 vaccine along with its association with various socio-demographic variables. Materials and Methods: The study conducted from April 2021 to August 2021 at SMS Medical College and attached Hospital, Jaipur, among 550 post graduate medical students, using validated semi structured questionnaire. Vaccine hesitancy scores were evaluated in relation to various socio demographic variables using appropriate statistical methods. Out of 550 Results: study participants, covid-19 vaccine acceptance was 89% whereas vaccine hesitance was 11%. Vaccine hesitancy scores were high (8%) low (14%) medium (78%) respectively. Main reasons for vaccine hesitancy were safety (60.8%), side effects (46%), efcacy (67%), ethical issues (97.66%) and waiting for more study results Vaccine hesitancy scores were signicantly associated with age, gender, residence, service status and working departments of the working residents. Covid- Conclusion: 19 vaccination of the post graduate medical students is most important because of their high-risk professional working environment