title: A Case of Contrast Leakage Mimicking Intraventricular Hemorrhage in a Patient with Intravenous Thrombolysis.
abstract: 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.
authors: Department of Neurology, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Republic of Korea.
authors: Min-Gyu
authors: MG
authors: Park
authors: Department of Neurology, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Republic of Korea.
authors: Min-Kyeung
authors: MK
authors: Kim
authors: Department of Neurology, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Republic of Korea.
authors: Baik-Kyun
authors: BK
authors: Kim
authors: Department of Radiology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Republic of Korea.
authors: Seung Kug
authors: SK
authors: Baik
authors: Department of Neurology, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Republic of Korea. Electronic address: kppark@pusan.ac.kr.
authors: Kyung-Pil
authors: KP
authors: Park
mesh_terms: D061605:Administration, Intravenous; D000368:Aged; D003287:Contrast Media / Q000009:adverse effects*; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D006973:Hypertension / Q000150:complications; D020300:Intracranial Hemorrhages / Q000503:physiopathology*; D020547:Lateral Ventricles / Q000000981:diagnostic imaging; D018810:Magnetic Resonance Angiography; D008297:Male; D010291:Paresis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage*
chemical_list: D003287:Contrast Media; D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator
keywords: Tissue plasminogen activator; contrast media; intracranial hemorrhage; magnetic resonance imaging