title: Hemorrhage or Ischemia? The Importance of 'Spotting' it Right.
abstract: 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.
  
  
  CONCLUSIONS
  In this case of embolic ischemic stroke with reperfusion hemorrhage, contrast extravasation "spot sign" was associated with hematoma expansion.
authors: Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA, scharf.eugene@mayo.edu.
authors: E L
authors: EL
authors: Scharf
authors: C L
authors: CL
authors: Kramer
authors: A A
authors: AA
authors: Rabinstein
mesh_terms: D000368:Aged; D002545:Brain Ischemia / Q000000981:diagnostic imaging*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D006801:Humans; D011859:Radiography; D015427:Reperfusion Injury / Q000150:complications / Q000000981:diagnostic imaging*; D020521:Stroke / Q000150:complications / Q000000981:diagnostic imaging*
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