Convexity subarachnoid haemorrhage: a practical guide

Pract Neurol. 2023 Oct;23(5):368-375. doi: 10.1136/pn-2022-003572. Epub 2023 Apr 28.

Abstract

Atraumatic convexity subarachnoid haemorrhage describes spontaneous bleeding into the convexities of the brain sulci without parenchymal involvement. Its many causes include reversible cerebral vasoconstriction syndrome, cerebral sinus venous thrombosis, posterior reversible encephalopathy syndrome and (in older people) cerebral amyloid angiopathy. We describe the clinical and radiological features of non-traumatic convexity subarachnoid haemorrhage with its various presentations, causes, treatments and prognoses, and use clinical vignettes to highlight important clinical points and pitfalls.

Keywords: cerebrovascular; cerebrovascular disease; clinical neurology; stroke; subarachnoid haemorrhage.

Publication types

  • Review

MeSH terms

  • Aged
  • Brain
  • Cerebral Amyloid Angiopathy* / complications
  • Cerebral Amyloid Angiopathy* / diagnostic imaging
  • Cerebral Amyloid Angiopathy* / therapy
  • Cerebrovascular Disorders*
  • Humans
  • Magnetic Resonance Imaging / adverse effects
  • Posterior Leukoencephalopathy Syndrome* / complications
  • Subarachnoid Hemorrhage* / diagnostic imaging
  • Subarachnoid Hemorrhage* / etiology
  • Subarachnoid Hemorrhage* / therapy