Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Perimesencephalic subarachnoid hemorrhage.
Case Discussion
Perimesencephalic hemorrhage is a distinct type of subarachnoid hemorrhage confined to the basal cisterns around the midbrain (typically the interpeduncular and prepontine cisterns). 95% of cases have a normal cerebral angiogram and the source of bleeding is not identified; the cause is thought to be a venous bleed. In these cases rebleeding and ischemia are rare and the prognosis is excellent. The other 5% of cases are due to a vertebrobasilar aneurysm and the prognosis is worse.
Credit: Dr Donna D'Souza.