title: Reaction to intravenous contrast media mimicking intracerebral hemorrhage after percutaneous coronary intervention.
abstract: BACKGROUND
  Cerebroavascular complications after percutaneous coronary interventions, although rare, need immediate diagnostic and treatment in order to minimize the possible sequelae.
  
  
  METHODS
  At the end of a percutaneous coronary intervention a 63-year old man, long standing migraineur, developed severe headache, confusion, nausea, photophobia, slow speech and left hemiparesis. In the presence of hyperdensity of the right parietal area in the brain CT, he was suspected to suffer from intracerebral hemorrhage, and treatment with platelet glycoprotein IIb/IIIa inhibitors was immediately stopped. Revision of the CT and disappearance of the clinical and radiological signs were concordant with the diagnosis of intraparenchymal extravasation of the contrast media.
  
  
  CONCLUSIONS
  We report a very rare complication of contrast media after coronary angiography with extravasation unilaterally in the anterior circulation. Recognition of this complication can avoid unnecessary investigations.
authors.affiliation: Department of Neurology, Shaare Zedek Medical Center, Jerusalem, Israel. ikl@cc.huji.ac.il
authors.forename: Isabelle
authors.initials: I
authors.lastname: Korn-Lubetzki
authors.forename: David
authors.initials: D
authors.lastname: Rosenmann
authors.forename: Bettina
authors.initials: B
authors.lastname: Steiner-Birmanns
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D002543:Cerebral Hemorrhage / Q000139:chemically induced*; D003287:Contrast Media / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged
chemical_list: D003287:Contrast Media