Academic Journal
Reversible and asymptomatic gyral and subarachnoid contrast enhancement after carotid stenting
العنوان: | Reversible and asymptomatic gyral and subarachnoid contrast enhancement after carotid stenting |
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المؤلفون: | Vangosa, Alessandra Briatico, TORTORA, DOMENICO, MODESTINO, FRANCESCO, COTRONEO, Antonio Raffaele, CAULO, MASSIMO |
المساهمون: | Vangosa, Alessandra Briatico, Tortora, Domenico, Modestino, Francesco, Cotroneo, Antonio Raffaele, Caulo, Massimo |
سنة النشر: | 2015 |
المجموعة: | ARUd'A - Archivio Istituzionale della ricerca dell'università Chieti-Pescara (IRIS) |
مصطلحات موضوعية: | Carotid angioplasty and stenting, Contrast extravasation, Aged, 80 and over, Carotid Stenosi, Contrast Media, Diagnosis, Differential, Extravasation of Diagnostic and Therapeutic Material, Female, Human, Male, Remission, Spontaneou, Subarachnoid Space, Neurology (clinical), Radiology, Nuclear Medicine and Imaging |
الوصف: | he presence of sulcal hyperdensity in patients after endovascular procedures is not necessarily attributable to hemorrhage. It may frequently indicate the absolute or concomitant extravasation of contrast material into the subarachnoid spaces. This case report describes the clinical case of an 84-year-old patient with 90% stenosis of the right internal carotid who presented with a diffuse gyral and sulcal hyperdensity in the right temporal-occipital and frontal lobes at routine postcarotid stenting (CAS) brain CT scan. The patient was asymptomatic and CT findings were interpreted as contrast enhancement hyperattenuation and no therapeutic decisions were made. A 24-hour follow-up brain CT demonstrated the complete resolution of the hyperdensity, confirming the diagnosis. In this patient we considered the concomitant presence of gyral and sulcal hyperdensity as the consequence of reversible damage to the blood-brain barrier (BBB) determining a transitory extravasation of contrast material. Asymptomatic gyral and subarachnoid contrast enhancement following CAS is generally indicative of benign and transitory damage to the BBB and is not to be misinterpreted as hemorrhage |
نوع الوثيقة: | article in journal/newspaper |
اللغة: | English |
Relation: | info:eu-repo/semantics/altIdentifier/pmid/25923674; info:eu-repo/semantics/altIdentifier/wos/WOS:000359429600015; volume:28; issue:2; firstpage:184; lastpage:186; numberofpages:3; journal:THE NEURORADIOLOGY JOURNAL; http://hdl.handle.net/11564/661209; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-84962018276; http://neu.sagepub.com/content/by/year |
DOI: | 10.1177/1971400915576630 |
الاتاحة: | http://hdl.handle.net/11564/661209 https://doi.org/10.1177/1971400915576630 http://neu.sagepub.com/content/by/year |
رقم الانضمام: | edsbas.C0B9794D |
قاعدة البيانات: | BASE |
DOI: | 10.1177/1971400915576630 |
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