Hemorrhage or Ischemia? The Importance of ‘Spotting’ it Right

E. L. Scharf; C. L. Kramer; A. A. Rabinstein

doi:10.1007/s12028-015-0113-1

Hemorrhage or Ischemia? The Importance of ‘Spotting’ it Right

E. L. Scharf, C. L. Kramer, A. A. Rabinstein

Neurology

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	113-115
Number of pages	3
Journal	Neurocritical care
Volume	23
Issue number	1
DOIs	https://doi.org/10.1007/s12028-015-0113-1
State	Published - Aug 3 2015

Keywords

CT angiography
Ischemia
Ischemic stroke
Reperfusion hemorrhage
Spot sign

ASJC Scopus subject areas

Clinical Neurology
Critical Care and Intensive Care Medicine

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10.1007/s12028-015-0113-1

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abstract = "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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AU - Scharf, E. L.

AU - Kramer, C. L.

AU - Rabinstein, A. A.

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Y1 - 2015/8/3

N2 - 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.

AB - 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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KW - Ischemia

KW - Ischemic stroke

KW - Reperfusion hemorrhage

KW - Spot sign

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Hemorrhage or Ischemia? The Importance of ‘Spotting’ it Right

Abstract

Keywords

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