Mirror writing after perimesencephalic subarachnoid haemorrhage

Abstract

We report a case of a right-handed Caucasian woman who developed mirror writing following a non-aneurysmal, non-traumatic subarachnoid haemorrhage. The patient was unaware of having this phenomenon, and it was detected by clinical staff when the patient was writing a card to a family member. Serial imaging has ruled out a stroke as well as an underlying vascular abnormality. This phenomenon resolved after two months. Whilst there is a body of literature surrounding mirror writing, to our knowledge, this is the first description of mirror writing in the setting of a perimesencephalic subarachnoid haemorrhage.

Keywords: Delayed ischemic neurological deficit; Hyponatremia; Mirror writing; Mirror-writing; Non-aneurysmal subarachnoid hemorrhage; Perimesencephalic subarachnoid hemorrhage.