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Reversible Parinaud Syndrome Following Intraventricular Thrombolysis

Published online by Cambridge University Press:  02 December 2014

Robert Laforce Jr. ,
Hélène Khuong ,
Jean-Luc Gariépy ,
Geneviève Milot  and
Martin Savard
Robert Laforce Jr.*
Affiliation:
Département des Sciences Neurologiques, CHAUQ, Hôpital de l'Enfant-Jésus, Québec, Canada
Hélène Khuong
Affiliation:
Département des Sciences Neurologiques, CHAUQ, Hôpital de l'Enfant-Jésus, Québec, Canada
Jean-Luc Gariépy
Affiliation:
Département de Radiologie, CHAUQ, Hôpital de l'Enfant-Jésus, Québec, Canada
Geneviève Milot
Affiliation:
Département des Sciences Neurologiques, CHAUQ, Hôpital de l'Enfant-Jésus, Québec, Canada
Martin Savard
Affiliation:
Département des Sciences Neurologiques, CHAUQ, Hôpital de l'Enfant-Jésus, Québec, Canada
*
Département des Sciences Neurologiques, CHAUQ, Hôpital de l'Enfant-Jésus, 1401, 18ième rue, Québec, G1J 1Z4, Canada.
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A 57-year-old daycare educator presented as a drowsy but oriented individual with a history of sudden and severe headache associated with vomiting. She had no previous medical or neurological history. Examination showed no focal signs and routine laboratory studies were unremarkable. Head computed tomogram (CT) revealed a Fisher grade IV subarachnoid hemorrhage in the posterior fossa with extensive intraventricular hemorrhage (Graeb 8/12, see Figures 1A and 1B) which was shown to originate from a left Posterior Inferior Cerebellar Artery (PICA) aneurysm on CT angiography and treated successfully with endovascular embolization. Five days later she deteriorated her level of consciousness (Glascow coma scale [GCS] 8/15). The CT scan showed moderate hydrocephalus and a ventricular drain was placed. She improved clinically but remained disoriented with slowed information processing skills.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 36 , Issue 1 , January 2009 , pp. 95 - 97
Copyright
Copyright © The Canadian Journal of Neurological 2009

References

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