Article Text
Neurological picture
Subependymal thalamic haemorrhage due to a thalamoperforating artery aneurysm
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A 49 year old woman was admitted because of sudden onset of severe headache, followed by double vision shortly thereafter. Her medical history was unremarkable. On clinical examination she had mild meningism. She was alert and fully oriented. Arterial blood pressure was 150/90 mm Hg. Neurological findings included a left trochlear nerve palsy, an incomplete Parinaud’s syndrome with difficulty on convergence, delayed pupil reaction, and restriction of upward gaze. Brain CT …