Sharp S, Stone J, Beach R
Department of Neurology, University of North Carolina at Chapel Hill, 27599, USA.
Neurology. 1999 Apr 22;52(7):1503-5. doi: 10.1212/wnl.52.7.1503.
A patient developed signs, symptoms, and radiologic findings compatible with acute subarachnoid hemorrhage after receiving a large dose of heparin and intravascular contrast medium for coronary angiography and stent placement. Subsequent CT indicated the subarachnoid enhancement was due to contrast. Neurotoxicity from contrast agents is well-known, however this is an unusual report of toxicity mimicking subarachnoid hemorrhage clinically and radiologically.
一名患者在接受大剂量肝素和血管内造影剂用于冠状动脉造影和支架置入术后,出现了与急性蛛网膜下腔出血相符的体征、症状和影像学表现。随后的CT显示蛛网膜下腔强化是由造影剂所致。造影剂的神经毒性是众所周知的,然而,这是一份关于造影剂毒性在临床和影像学上模拟蛛网膜下腔出血的罕见报告。