Cerebral infarction secondary to vasospasm after perimesencephalic subarachnoid hemorrhage Academic Article uri icon


MeSH Major

  • Cerebral Infarction
  • Subarachnoid Hemorrhage
  • Vasospasm, Intracranial


  • Perimesencephalic subarachnoid hemorrhage (pSAH) has been described as a distinct form of subarachnoid hemorrhage (SAH) associated with good outcomes. We report a 48-year-old female who developed cerebral infarction due to severe diffuse vasospasm following pSAH. The patient presented with non-aneurysmal pSAH and was discharged home on day 5. However, one week later she developed an acute onset of right hemiparesis. A brain MRI showed acute infarctions on diffusion weighted imaging and her cerebral angiogram showed diffuse vasospasm. The patient received intra-arterial diltiazem and hypervolemic-hypertensive-hemodilution therapy with resulting resolution of the vasospasm and hemiparesis. While not as common as in SAH, there is a potential for the occurrence of cerebral infarction due to vasospasm after pSAH.

publication date

  • July 2011



  • Academic Article



  • eng

Digital Object Identifier (DOI)

  • 10.1016/j.jocn.2010.12.012

PubMed ID

  • 21565507

Additional Document Info

start page

  • 994

end page

  • 6


  • 18


  • 7