A Case of Contrast Leakage Mimicking Intraventricular Hemorrhage in a Patient with Intravenous Thrombolysis

作者：Park Min Gyu; Kim Min Kyeung; Kim Baik Kyun; Baik Seung Kug; Park Kyung Pil^*

来源：Journal of Stroke and Cerebrovascular Diseases, 2017, 26(1): E14-E17.

DOI：10.1016/j.jstrokecerebrovasdis.2016.09.041

• Tissue plasminogen activator
• contrast media
• intracranial hemorrhage
• magnetic resonance imaging

Contrast leakage on non-enhanced brain computed tomography (CT) is a common phenomenon after diagnostic or interventional cerebral angiography in patients with acute ischemic stroke. Contrast leakage is known to be related to the loosening of the blood-brain barrier. Sometimes, the contrast leakage on non-enhanced brain CT has been mistaken for intracranial hemorrhage. Differentiating the contrast leakage from the intracranial hemorrhage on non-enhanced brain CT is a very important issue, because subsequent treatment after intravenous thrombolysis (IVT) or intra-arterial thrombolysis would depend on the result of brain CT after thrombolysis. Recently, we experienced a case of contrast leakage mimicking intraventricular hemorrhage in a patient with IVT. The contrast leakage into the lateral ventricles after IVT is not a common phenomenon. We describe here our case.

• 出版日期2017-1