Abstract
Dear Sir: Spontaneous subarachnoid and intracerebral haemorrhages are often devastating events. Although more frequent in older patients, intracranial bleeds are also encountered in young individuals. Possible causes are arteriovenous malformations, arterial aneurysms, fragile collateral blood vessels and neoplasms. Dissections of intradural arteries also lead to intracranial haemorrhage, in addition to ischemic infarction due to vessel occlusion. We report a young patient with dissection of the middle cerebral artery (MCA) leading to intracerebral and subarachnoid haemorrhage and discuss the treatment attempts to prevent recurrent bleeding.
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