Sakamoto Shigeyuki, Eguchi Kuniki, Shibukawa Masaaki, Kiura Yoshihiro, Yamasaki Fumiyuki, Kajiwara Yoshinori, Matsushige Toshinori, Kurisu Kaoru
Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
Hiroshima J Med Sci. 2010 Mar;59(1):15-6.
We report cerebral digital subtraction angiography (DSA) using Gadolinium in a patient allergic to iodinated contrast media. A 77-year-old woman was admitted to our hospital for surgical resection of a brain tumor. Although a DSA was requested as a preoperative examination, the patient had a history of allergic reaction to non-ionic iodinated contrast medium. Therefore, DSA was performed using Gadolinium. The DSA showed no tumor stain and normal venous drainage. The patient underwent surgical resection of the tumor and was discharged with no new neurological deficit. DSA using Gadolinium was useful in a patient with an anaphylactic reaction to iodinated contrast media.
我们报告了在一名对碘化造影剂过敏的患者中使用钆进行脑数字减影血管造影（DSA）的情况。一名77岁女性因脑肿瘤手术切除入院。尽管术前检查要求进行DSA，但该患者有对非离子型碘化造影剂过敏反应的病史。因此，使用钆进行了DSA检查。DSA显示无肿瘤染色且静脉引流正常。患者接受了肿瘤手术切除，出院时无新的神经功能缺损。对于对碘化造影剂有过敏反应的患者，使用钆进行DSA检查是有用的。
