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Hemorrhage or Ischemia? The Importance of 'Spotting' it Right
E L Scharf1, C L Kramer, A A Rabinstein
1Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA, scharf.eugene@mayo.edu.
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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