Die perimesenzephale Subarachnoidalblutung: klinische und computertomographische Aspekte

Kaim, Achim H.; Mäder, I; Kirsch, E.; Radü, E. W.; Steinbrich, W.

doi:10.1055/s-2007-1015883

Cited by 3 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Eine Blutung aus einer solchen Vene kann jedoch bei einem niedrigen venösen Perfusionsdruck pathophysiologisch als wenig wahrscheinlich angesehen werden, so daß auch venöse Malformationen diskutiert werden müssen. Von anderen Autoren (Kaim et al 1995) werden kleine pontine Gefäßmaiformationen diskutiert, die von McCormick (1965) als große "kryptische Malformationen" beschrieben wurden. Bei der Ruptur einer solchen Malformation wäre jedoch eher eine intrapontine Blutung zu erwarten.…”

Section: Diskussionunclassified

Die spontane perimesenzephale Subarachnoidalblutung (PMH)

Meisenzahl

Lechner²,

Lehmann³

1998

Fortschr Neurol Psychiatr

View full text Add to dashboard Cite

Perimesencephalic subarachnoidal haemorrhage (PMH) is characterized by a typical blood distribution pattern in the basal cysterns in the CAT, missing evidence of an aneurysm in the panangiogram, a mild clinical course and a very positive prognosis. Between 1990 and 1995, 108 inpatients with non-traumatic subarachnoidal haemorrhage were treated in our clinic. Within this group 14 patients (13%) were identified retrospectively with a perimesencephalic haemorrhage distribution pattern in the CAT and a negative panangiogram. These patients experienced a mild clinical course with excellent outcome without rebleeding during the observation period of 2 to 50 months. All patients were fully able to work, and only two patients complained of frequent headaches. The mild clinical course, the negative panangiogram as well as the extremely positive outcome confirm the hypothesis of of a benign subgroup of non-traumatic subarachnoidal haemorrhages.

show abstract

Section: Diskussionunclassified