Sarohia Dani, Javan Ramin, Aziz Salim
Department of Radiology, George Washington University Hospital, Washington D.C., USA.
Department of Cardiothoracic Surgery, George Washington University Hospital, Washington D.C., USA.
J Radiol Case Rep. 2016 Aug 31;10(8):1-11. doi: 10.3941/jrcr.v10i8.2683. eCollection 2016 Aug.
We present a case in which intraocular silicone injection for complex retinal detachment resulted in migration and distribution of silicone along the intracranial visual pathway, and ultimately throughout the ventricular system. Misinterpretation of this material as intracranial hemorrhage on outside computed tomography imaging delayed emergent repair of a Type A aortic dissection until the diagnosis was made on repeat imaging. A discussion of this case and salient computed tomography and magnetic resonance imaging characteristics of silicone is provided.