Abstract

Aneurysmal subarachnoid hemorrhage (SAH) can be devastating and associated intraparenchymal hematomas significantly increase the likelihood of neurological deficit. We report a case of a patient with an aneurysmal subarachnoid hemorrhage and a brainstem hematoma, but suffering only minimal sensory deficits. Our hypothesis is that the apparent brainstem hematoma was actually subarachnoid blood in dilated Virchow-Robin spaces. To our knowledge, this is the first report of subarachnoid hemorrhage extending into Virchow-Robin spaces.

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