PT  - JOURNAL ARTICLE
AU  - Alturki, Abdulrahman Y.
AU  - Alamri, Abdullah S.
AU  - Badawy, Mohamed M.
AU  - Lo, Benjamin W.
TI  - Basilar artery vasospasm after pretuncal non-aneurysmal subarachnoid hemorrhage responding to milrinone
AID  - 10.17712/nsj.2017.2.20160451
DP  - 2017 Apr 01
TA  - Neurosciences Journal
PG  - 134--137
VI  - 22
IP  - 2
4099  - http://nsj.org.sa/content/22/2/134.short
4100  - http://nsj.org.sa/content/22/2/134.full
SO  - Neurosciences (Riyadh)2017 Apr 01; 22
AB  - Pretruncal (perimesencephalic) non-aneurysmal subarachnoid hemorrhage (PNSAH) is uniformly associated with an excellent outcome. Although cerebral vasospasm remains a common complication of SAH and constitutes an important predictor of outcome, in the setting of PNSAH, it is extremely rare. Preturnal non-aneurysmal subarac refers to a subset of SAH patients with a characteristic pattern of localized blood on CT of the head, normal cerebral angiography, and benign course when compared to the aneurysmal SAH population. The presence of radiological or even clinical vasospasm does not exclude the diagnosis of PNSAH. To our knowledge, this is the first case of symptomatic cerebral vasospasm due to PNSAH that responded to milrinone.