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MR Imaging in Pretruncal Nonaneurysmal Subarachnoid Hemorrhage,Is It Worthwhile?
Stroke 29:2514-2516, Wijdicks,E.F.M.,et al, 1998
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Article Abstract
We performed MR imaging of the brain in 18 patients with a pretruncal nonaneurysmal subarachnoid hemorrhage. The focal nature of the subarachnoid hemorrhage exclusively in front of the brain stem was confirmed in 14 patients studied within 7 days of the ictus. No vascular abnormalities were found in 17 cases, including 14 patients with gadolinium enhancement. An incidental capillary telangiectasia was found in 1 patient. Fluid-attenuated inverse recovery MR additionally documented blood in the sulci due to the cerebrospinal fluid recirculation of blood. Five patients underwent MR imaging of the spine, and no arteriovenous malformations were found. MR imaging did not reveal a source of pretruncal subarachnoid hemorrhage. The cost of MR imaging probably outweighs the benefit in the evaluation of this variant of subarachnoid hemorrhage.
 
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cerebrovascular accident,cost of
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subarachnoid hemorrhage
subarachnoid hemorrhage,perimesencephalic

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