Pseudo-subarachnoid hemorrhage in cerebellar infarction

Brandon R. Barton*, Shyam Prabhakaran, Demetrius K. Lopes, Vivien H. Lee

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Introduction: The computed tomography (CT) appearance of subarachnoid hemorrhage (SAH) without subarachnoid blood has been labeled "pseudo-subarachnoid hemorrhage" (pseudo-SAH) and has been reported with several diffuse intracerebral insults including intrathecal contrast agents, meningitis, generalized cerebral edema, anoxic encephalopathy, and intracranial hypotension. Methods: Single case report. Results: We present a 43-year-old female who presented with vertigo and severe headache. Initial CT brain suggested SAH with hydrocephalus. Subsequent cerebral angiography was negative. Cerebrospinal fluid from an external ventricular drain (EVD) was negative for blood, and MRI brain revealed an acute stroke in the posterior inferior cerebellar artery (PICA) territory. Conclusion: Our case suggests that PICA infarction can be associated with the CT finding of pseudo-SAH, thereby mimicking the clinical and radiographic presentation of SAH.

Original languageEnglish (US)
Pages (from-to)172-174
Number of pages3
JournalNeurocritical Care
Volume7
Issue number2
DOIs
StatePublished - Oct 1 2007

Keywords

  • Cerebellar infarction
  • Headache
  • Pseudo-subarachnoid hemorrhage

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

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