A Case of Contrast Leakage Mimicking Intraventricular Hemorrhage in a Patient with Intravenous Thrombolysis

Contrast leakage on non-enhanced brain computed tomography (CT) is a common phenomenon after diagnostic or interventional cerebral angiography in patients with acute ischemic stroke. Contrast leakage is known to be related to the loosening of the blood–brain barrier. Sometimes, the contrast leakage...

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Bibliographic Details
Published in:Journal of stroke and cerebrovascular diseases 2017-01, Vol.26 (1), p.e14-e17
Main Authors: Park, Min-Gyu, MD, Kim, Min-Kyeung, MD, Kim, Baik-Kyun, MD, Baik, Seung Kug, MD, PhD, Park, Kyung-Pil, MD, PhD
Format: Article
Language:English
Subjects:
Administration, Intravenous
Aged
Cardiovascular
contrast media
Contrast Media - adverse effects
Fibrinolytic Agents - administration & dosage
Humans
Hypertension - complications
intracranial hemorrhage
Intracranial Hemorrhages - physiopathology
Lateral Ventricles - diagnostic imaging
Magnetic Resonance Angiography
magnetic resonance imaging
Male
Neurology
Paresis - diagnostic imaging
Paresis - drug therapy
Paresis - etiology
Tissue plasminogen activator
Tissue Plasminogen Activator - administration & dosage
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Summary:Contrast leakage on non-enhanced brain computed tomography (CT) is a common phenomenon after diagnostic or interventional cerebral angiography in patients with acute ischemic stroke. Contrast leakage is known to be related to the loosening of the blood–brain barrier. Sometimes, the contrast leakage on non-enhanced brain CT has been mistaken for intracranial hemorrhage. Differentiating the contrast leakage from the intracranial hemorrhage on non-enhanced brain CT is a very important issue, because subsequent treatment after intravenous thrombolysis (IVT) or intra-arterial thrombolysis would depend on the result of brain CT after thrombolysis. Recently, we experienced a case of contrast leakage mimicking intraventricular hemorrhage in a patient with IVT. The contrast leakage into the lateral ventricles after IVT is not a common phenomenon. We describe here our case.
ISSN:1052-3057
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2016.09.041