Postangiographic Contrast Enhancement Mimicking Acute Subdural Hemorrhage in a Patient with Severe Occipital Headache and Neurological Symptoms: a Case Report

Overview

Journal J Med Case Rep

Publisher Biomed Central

Specialty General Medicine

Date 2008 Apr 25

PMID 18433495

Citations 2

Authors

Sudipta Chattopadhyay

Manivannan Srinisavan

Phillip Thomas

Affiliations

Soon will be listed here.

Abstract

Introduction: Neurological symptoms after percutaneous coronary intervention can have grave implications. The symptoms may result from relatively benign conditions like migraine to potentially life-threatening conditions such as intracranial bleeding.

Case Presentation: We describe a case of a 57-year-old woman who developed significant neurological symptoms following percutaneous coronary intervention. An early 'unenhanced' computed tomography scan of the brain was reported as a possible 'subdural haematoma'. The symptoms reversed within hours and the computed tomography scan was normal 24 hours later. The diagnosis and its possible mechanism are discussed.

Conclusion: Definitive diagnosis in such a case can only be obtained from the radiological features and thus a detailed study is essential.

Citing Articles

Typical subdural contrast effusion secondary to endovascular treatment of a pediatric pial arteriovenous fistula.

Yan W, Li X, Yan C, Liu J Interv Neuroradiol. 2020; 27(1):31-36.

PMID: 32611214 PMC: 7903540. DOI: 10.1177/1591019920938965.

A case of post angiography subdural collection contrast enhancement: Time course of attenuation reduction.

Jain A, Payabvash S Radiol Case Rep. 2019; 14(3):396-399.

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