title: Intracranial Migration of Silicone Delaying Life Saving Surgical Management: A Mimicker of Hemorrhage.
abstract: We present a case in which intraocular silicone injection for complex retinal detachment resulted in migration and distribution of silicone along the intracranial visual pathway, and ultimately throughout the ventricular system. Misinterpretation of this material as intracranial hemorrhage on outside computed tomography imaging delayed emergent repair of a Type A aortic dissection until the diagnosis was made on repeat imaging. A discussion of this case and salient computed tomography and magnetic resonance imaging characteristics of silicone is provided.
authors.affiliation: Department of Radiology, George Washington University Hospital, Washington D.C., USA.
authors.forename: Dani
authors.initials: D
authors.lastname: Sarohia
authors.affiliation: Department of Radiology, George Washington University Hospital, Washington D.C., USA.
authors.forename: Ramin
authors.initials: R
authors.lastname: Javan
authors.affiliation: Department of Cardiothoracic Surgery, George Washington University Hospital, Washington D.C., USA.
authors.forename: Salim
authors.initials: S
authors.lastname: Aziz
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000601:surgery; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging*; D006801:Humans; D020300:Intracranial Hemorrhages / Q000139:chemically induced* / Q000000981:diagnostic imaging* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008382:Marfan Syndrome / Q000150:complications; D008875:Middle Aged; D012163:Retinal Detachment / Q000188:drug therapy*; D012828:Silicones / Q000008:administration & dosage / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
chemical_list: D012828:Silicones
keywords: Intraocular silicone; Marfan syndrome; intracranial hemorrhage; intracranial silicone; intraventricular hemorrhage; retinal detachment