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.
我们报告了一例因复杂性视网膜脱离进行眼内硅油注射后,硅油沿颅内视觉通路迁移并分布,最终遍布脑室系统的病例。在外部计算机断层扫描成像中将这种物质误判为颅内出血,导致A型主动脉夹层的紧急修复延迟,直到重复成像才做出诊断。本文提供了该病例的讨论以及硅油在计算机断层扫描和磁共振成像中的显著特征。