Hemorrhage or Ischemia? The Importance of 'Spotting' it Right.
作者信息
Scharf E L, Kramer C L, Rabinstein A A
机构信息
Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA,
出版信息
Neurocrit Care. 2015 Aug;23(1):113-5. doi: 10.1007/s12028-015-0113-1.
BACKGROUND
A 78-year-old woman was transferred directly to an ICU because of intracerebral hemorrhage. However, on careful review of the initial imaging, the likely diagnosis was ischemic stroke and reperfusion hemorrhage.
METHODS
Case report was explained.
RESULTS
The patient suffered significant reperfusion hemorrhage. A CT angiogram revealed contrast extravasation "spot sign" in the bed of the expanding hemorrhage and an occlusive thromboembolism distal to the initial ischemic insult.
CONCLUSION
In this case of embolic ischemic stroke with reperfusion hemorrhage, contrast extravasation "spot sign" was associated with hematoma expansion.
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