Academic Journal

Reversible and asymptomatic gyral and subarachnoid contrast enhancement after carotid stenting

التفاصيل البيبلوغرافية
العنوان: Reversible and asymptomatic gyral and subarachnoid contrast enhancement after carotid stenting
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
الوصف
DOI:10.1177/1971400915576630